Public record

CMS Hospice All Owners

Associate id - owner: 1658394143 · 22 matching records

Enrollment id
O20021115000022
Associate id
1850209214
Organization name
GOOD SHEPHERD HOSPICE OF MID-AMERICA INC
Associate id - owner
1658394143
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2005-09-01
First name - owner
JASON
Middle name - owner
KYLE
Last name - owner
DELESTER
Enrollment id
O20021115000022
Associate id
1850209214
Organization name
GOOD SHEPHERD HOSPICE OF MID-AMERICA INC
Associate id - owner
1658394143
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2005-09-01
First name - owner
JASON
Middle name - owner
KYLE
Last name - owner
DELESTER
Enrollment id
O20021115000022
Associate id
1850209214
Organization name
GOOD SHEPHERD HOSPICE OF MID-AMERICA INC
Associate id - owner
1658394143
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2005-09-01
First name - owner
JASON
Middle name - owner
KYLE
Last name - owner
DELESTER
Enrollment id
O20021115000022
Associate id
1850209214
Organization name
GOOD SHEPHERD HOSPICE OF MID-AMERICA INC
Associate id - owner
1658394143
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2005-09-01
First name - owner
JASON
Middle name - owner
KYLE
Last name - owner
DELESTER
Enrollment id
O20040205000896
Associate id
1850208414
Organization name
GOOD SHEPHERD HOSPICE INC
Associate id - owner
1658394143
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2005-09-30
First name - owner
JASON
Middle name - owner
KYLE
Last name - owner
DELESTER
Enrollment id
O20040205000896
Associate id
1850208414
Organization name
GOOD SHEPHERD HOSPICE INC
Associate id - owner
1658394143
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2006-01-11
First name - owner
JASON
Middle name - owner
KYLE
Last name - owner
DELESTER
Enrollment id
O20040205000896
Associate id
1850208414
Organization name
GOOD SHEPHERD HOSPICE INC
Associate id - owner
1658394143
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2005-10-01
First name - owner
JASON
Middle name - owner
KYLE
Last name - owner
DELESTER
Enrollment id
O20050124000774
Associate id
0648220038
Organization name
GOOD SHEPHERD HOSPICE OF DALLAS, LLC
Associate id - owner
1658394143
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2005-09-30
First name - owner
JASON
Middle name - owner
KYLE
Last name - owner
DELESTER
Title - owner
MANAGER, LLC/AUTHORIZED OFFICIAL
Enrollment id
O20060120000693
Associate id
7810911526
Organization name
GOOD SHEPHERD HOSPICE WICHITA LLC
Associate id - owner
1658394143
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2006-02-01
First name - owner
JASON
Middle name - owner
KYLE
Last name - owner
DELESTER
Title - owner
CHAIRMAN OF THE BOARD
Enrollment id
O20080530000317
Associate id
3577633783
Organization name
GOOD SHEPHERD HOSPICE OF SPRINGFIELD, LLC
Associate id - owner
1658394143
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2008-05-14
First name - owner
JASON
Middle name - owner
KYLE
Last name - owner
DELESTER
Title - owner
BOARD OF DIRECTOR
Percentage ownership
0
Enrollment id
O20080530000317
Associate id
3577633783
Organization name
GOOD SHEPHERD HOSPICE OF SPRINGFIELD, LLC
Associate id - owner
1658394143
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2008-05-14
First name - owner
JASON
Middle name - owner
KYLE
Last name - owner
DELESTER
Title - owner
MANAGER
Percentage ownership
0
Enrollment id
O20080530000317
Associate id
3577633783
Organization name
GOOD SHEPHERD HOSPICE OF SPRINGFIELD, LLC
Associate id - owner
1658394143
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2008-05-14
First name - owner
JASON
Middle name - owner
KYLE
Last name - owner
DELESTER
Title - owner
MANAGER
Percentage ownership
0
Enrollment id
O20080530000317
Associate id
3577633783
Organization name
GOOD SHEPHERD HOSPICE OF SPRINGFIELD, LLC
Associate id - owner
1658394143
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2008-05-14
First name - owner
JASON
Middle name - owner
KYLE
Last name - owner
DELESTER
Title - owner
MANAGER
Percentage ownership
0
Enrollment id
O20100708000495
Associate id
1850209214
Organization name
GOOD SHEPHERD HOSPICE OF MID-AMERICA INC
Associate id - owner
1658394143
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2011-12-28
First name - owner
JASON
Middle name - owner
KYLE
Last name - owner
DELESTER
Title - owner
PRESIDENT
Percentage ownership
0
Enrollment id
O20120222000178
Associate id
1850208414
Organization name
GOOD SHEPHERD HOSPICE INC
Associate id - owner
1658394143
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2005-09-30
First name - owner
JASON
Middle name - owner
KYLE
Last name - owner
DELESTER
Title - owner
PRESIDENT
Enrollment id
O20120222000178
Associate id
1850208414
Organization name
GOOD SHEPHERD HOSPICE INC
Associate id - owner
1658394143
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2005-09-30
First name - owner
JASON
Middle name - owner
KYLE
Last name - owner
DELESTER
Enrollment id
O20120509000519
Associate id
1850208414
Organization name
GOOD SHEPHERD HOSPICE INC
Associate id - owner
1658394143
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2005-09-30
First name - owner
JASON
Middle name - owner
KYLE
Last name - owner
DELESTER
Title - owner
PRESIDENT
Enrollment id
O20121009000652
Associate id
8921257890
Organization name
GOOD SHEPHERD HOSPICE OF HOUSTON LLC
Associate id - owner
1658394143
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2012-03-01
First name - owner
JASON
Middle name - owner
KYLE
Last name - owner
DELESTER
Percentage ownership
100
Enrollment id
O20121009000652
Associate id
8921257890
Organization name
GOOD SHEPHERD HOSPICE OF HOUSTON LLC
Associate id - owner
1658394143
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2012-03-01
First name - owner
JASON
Middle name - owner
KYLE
Last name - owner
DELESTER
Percentage ownership
100
Enrollment id
O20130618000453
Associate id
9931348257
Organization name
GOOD SHEPHERD HOSPICE OF SAN ANTONIO LLC
Associate id - owner
1658394143
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2012-03-01
First name - owner
JASON
Middle name - owner
KYLE
Last name - owner
DELESTER
Title - owner
BOARD OF DIRECTOR, PRESIDENT
Enrollment id
O20130618000453
Associate id
9931348257
Organization name
GOOD SHEPHERD HOSPICE OF SAN ANTONIO LLC
Associate id - owner
1658394143
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2012-03-01
First name - owner
JASON
Middle name - owner
KYLE
Last name - owner
DELESTER
Title - owner
MANAGER
Enrollment id
O20210514001366
Associate id
6406265859
Organization name
GOOD SHEPHERD HOSPICE OF ARDMORE, LLC
Associate id - owner
1658394143
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-03-10
First name - owner
JASON
Middle name - owner
KYLE
Last name - owner
DELESTER
Title - owner
MANAGER LLC

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