Public record

CMS Hospice All Owners

Associate id - owner: 1456780782 · 4 matching records

Enrollment id: O20201104001766
Associate id: 4183034085
Organization name: IE COMMUNITY HOSPICE, INC.
Associate id - owner: 1456780782
Type - owner: I
Role code - owner: 34
Role text - owner: 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner: 2022-10-08
First name - owner: MARLON
Middle name - owner: H
Last name - owner: CARPIO
Title - owner: OWNER
Percentage ownership: 40

Enrollment id: O20201104001766
Associate id: 4183034085
Organization name: IE COMMUNITY HOSPICE, INC.
Associate id - owner: 1456780782
Type - owner: I
Role code - owner: 40
Role text - owner: CORPORATE OFFICER
Association date - owner: 2022-10-08
First name - owner: MARLON
Middle name - owner: H
Last name - owner: CARPIO
Title - owner: CHIEF FINANCIAL OFFICER
Percentage ownership: 40

Enrollment id: O20201104001766
Associate id: 4183034085
Organization name: IE COMMUNITY HOSPICE, INC.
Associate id - owner: 1456780782
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2022-10-08
First name - owner: MARLON
Middle name - owner: H
Last name - owner: CARPIO
Title - owner: BOARD OF DIRECTORS
Percentage ownership: 40

Enrollment id: O20201104001766
Associate id: 4183034085
Organization name: IE COMMUNITY HOSPICE, INC.
Associate id - owner: 1456780782
Type - owner: I
Role code - owner: 42
Role text - owner: W-2 MANAGING EMPLOYEE
Association date - owner: 2022-10-08
First name - owner: MARLON
Middle name - owner: H
Last name - owner: CARPIO
Title - owner: DIRECTOR OF PATIENT CARE SERVICES
Percentage ownership: 40

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