Public record

CMS Hospice All Owners

Associate id - owner: 0941112973 · 7 matching records

Enrollment id
O20230130002267
Associate id
4385015346
Organization name
CCC HOSPICE LLC
Associate id - owner
0941112973
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-12-01
First name - owner
WILFORD
Middle name - owner
ALBERT
Last name - owner
PAYNE
Percentage ownership
40
Enrollment id
O20230130002267
Associate id
4385015346
Organization name
CCC HOSPICE LLC
Associate id - owner
0941112973
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-12-01
First name - owner
WILFORD
Middle name - owner
ALBERT
Last name - owner
PAYNE
Title - owner
MANAGER
Enrollment id
O20230804002236
Associate id
0941661086
Organization name
ARDEN OF CENTRAL MISSISSIPPI LLC
Associate id - owner
0941112973
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-05-01
First name - owner
WILFORD
Middle name - owner
ALBERT
Last name - owner
PAYNE
Title - owner
PRESIDENT/CEO OF MANAGER-MANAGED
Enrollment id
O20230804002236
Associate id
0941661086
Organization name
ARDEN OF CENTRAL MISSISSIPPI LLC
Associate id - owner
0941112973
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-05-01
First name - owner
WILFORD
Middle name - owner
ALBERT
Last name - owner
PAYNE
Title - owner
PRESIDENT/CEO PF MANAGER-MANAGED
Percentage ownership
50
Enrollment id
O20230828002666
Associate id
8921461773
Organization name
ARDEN OF SOUTH MISSISSIPPI LLC
Associate id - owner
0941112973
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-06-01
First name - owner
WILFORD
Middle name - owner
ALBERT
Last name - owner
PAYNE
Title - owner
PRESIDENT/CEO OF MANAGER- MANAGE
Percentage ownership
50
Enrollment id
O20230928003161
Associate id
2567816242
Organization name
ARDEN OF NORTH MISSISSIPPI LLC
Associate id - owner
0941112973
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-06-30
First name - owner
WILFORD
Middle name - owner
ALBERT
Last name - owner
PAYNE
Title - owner
PRESIDENT/CEO OF MANAGER-MANGED
Enrollment id
O20241106002461
Associate id
0244764751
Organization name
ARDEN HOSPICE OF SOUTHERN TENNESSEE, LLC
Associate id - owner
0941112973
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-05-01
First name - owner
WILFORD
Middle name - owner
ALBERT
Last name - owner
PAYNE
Title - owner
PRESIDENT/CEO OF MANAGER-MANAGED
Percentage ownership
50

This record is displayed as returned by the government data source. Open the raw file · About this dataset · Full source list