Public record

CMS Hospice All Owners

Associate id - owner: 1658311451 · 4 matching records

Enrollment id
O20210217000383
Associate id
7810302296
Organization name
BLUE STREAM HOSPICE AND PALLIATIVE CARE INC
Associate id - owner
1658311451
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-08-28
First name - owner
SHAKKY
Last name - owner
AKINRULI
Title - owner
ALT. ADMINISTRATOR
Enrollment id
O20220912002696
Associate id
9133504152
Organization name
SUNCREST HOSPICE CARE LLC
Associate id - owner
1658311451
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2022-07-11
First name - owner
SHAKKY
Last name - owner
AKINRULI
Percentage ownership
100
Enrollment id
O20220912002696
Associate id
9133504152
Organization name
SUNCREST HOSPICE CARE LLC
Associate id - owner
1658311451
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-07-11
First name - owner
SHAKKY
Last name - owner
AKINRULI
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20220912002696
Associate id
9133504152
Organization name
SUNCREST HOSPICE CARE LLC
Associate id - owner
1658311451
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-07-11
First name - owner
SHAKKY
Last name - owner
AKINRULI
Title - owner
AD;
Percentage ownership
100

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