Public record

CMS Hospice All Owners

Associate id - owner: 2668795303 · 12 matching records

Enrollment id
O20210412002358
Associate id
1355759374
Organization name
LIVING ANGELS HOSPICE CARE
Associate id - owner
2668795303
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2020-05-22
First name - owner
HERMIE
Middle name - owner
A
Last name - owner
DAVIS
Title - owner
OWNER/GOVERNING BODY
Percentage ownership
20
Enrollment id
O20210412002358
Associate id
1355759374
Organization name
LIVING ANGELS HOSPICE CARE
Associate id - owner
2668795303
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-05-22
First name - owner
HERMIE
Middle name - owner
A
Last name - owner
DAVIS
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20210412002358
Associate id
1355759374
Organization name
LIVING ANGELS HOSPICE CARE
Associate id - owner
2668795303
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-05-22
First name - owner
HERMIE
Middle name - owner
A
Last name - owner
DAVIS
Title - owner
BOARD OF DIRECTOR
Percentage ownership
100
Enrollment id
O20210412002358
Associate id
1355759374
Organization name
LIVING ANGELS HOSPICE CARE
Associate id - owner
2668795303
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-07-08
First name - owner
HERMIE
Middle name - owner
A
Last name - owner
DAVIS
Title - owner
ADMINISTRATOR
Percentage ownership
100
Enrollment id
O20210827000820
Associate id
3870998933
Organization name
AMICI HOSPICE, INC.
Associate id - owner
2668795303
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2020-10-26
First name - owner
HERMIE
Middle name - owner
A
Last name - owner
DAVIS
Title - owner
OWNER/GOVERNING BODY
Percentage ownership
33.33
Enrollment id
O20210827000820
Associate id
3870998933
Organization name
AMICI HOSPICE, INC.
Associate id - owner
2668795303
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-10-26
First name - owner
HERMIE
Middle name - owner
A
Last name - owner
DAVIS
Title - owner
CEO/PRESIDENT
Percentage ownership
100
Enrollment id
O20210827000820
Associate id
3870998933
Organization name
AMICI HOSPICE, INC.
Associate id - owner
2668795303
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-10-26
First name - owner
HERMIE
Middle name - owner
A
Last name - owner
DAVIS
Title - owner
BOARD OF DIRECTOR
Percentage ownership
100
Enrollment id
O20210827000820
Associate id
3870998933
Organization name
AMICI HOSPICE, INC.
Associate id - owner
2668795303
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-11-02
First name - owner
HERMIE
Middle name - owner
A
Last name - owner
DAVIS
Title - owner
ADMINISTRATOR
Percentage ownership
100
Enrollment id
O20211014000528
Associate id
4880092378
Organization name
SUMMER BREEZE HEALTHCARE
Associate id - owner
2668795303
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2020-07-15
First name - owner
HERMIE
Middle name - owner
A
Last name - owner
DAVIS
Title - owner
GOVERNING BODY/OWNER
Percentage ownership
50
Enrollment id
O20211014000528
Associate id
4880092378
Organization name
SUMMER BREEZE HEALTHCARE
Associate id - owner
2668795303
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-07-15
First name - owner
HERMIE
Middle name - owner
A
Last name - owner
DAVIS
Title - owner
CEO/PRESIDENT/CFO
Percentage ownership
100
Enrollment id
O20211014000528
Associate id
4880092378
Organization name
SUMMER BREEZE HEALTHCARE
Associate id - owner
2668795303
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-07-15
First name - owner
HERMIE
Middle name - owner
A
Last name - owner
DAVIS
Title - owner
BOARD OF DIRECTOR
Percentage ownership
100
Enrollment id
O20211014000528
Associate id
4880092378
Organization name
SUMMER BREEZE HEALTHCARE
Associate id - owner
2668795303
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-08-03
First name - owner
HERMIE
Middle name - owner
A
Last name - owner
DAVIS
Title - owner
ADMINISTRATOR
Percentage ownership
100

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