Public record

CMS Hospice All Owners

Associate id - owner: 1052671633 · 3 matching records

Enrollment id
O20231218002398
Associate id
8921457888
Organization name
REFINED HOSPICE LLC
Associate id - owner
1052671633
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2023-11-01
First name - owner
THOMAS
Middle name - owner
R
Last name - owner
GROSE
Percentage ownership
50
Enrollment id
O20231218002398
Associate id
8921457888
Organization name
REFINED HOSPICE LLC
Associate id - owner
1052671633
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-11-01
First name - owner
THOMAS
Middle name - owner
R
Last name - owner
GROSE
Title - owner
CEO/ADMIN
Enrollment id
O20231218002398
Associate id
8921457888
Organization name
REFINED HOSPICE LLC
Associate id - owner
1052671633
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-11-01
First name - owner
THOMAS
Middle name - owner
R
Last name - owner
GROSE
Title - owner
CEO

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