Public record

CMS Hospice All Owners

Associate id - owner: 3274962956 · 7 matching records

Enrollment id
O20200403001292
Associate id
8426487984
Organization name
GOOD LIFE PALLIATIVE CARE
Associate id - owner
3274962956
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2019-12-20
First name - owner
HOLLIS
Last name - owner
FREDERICK
Title - owner
OWNER/ADMINISTRATOR
Percentage ownership
100
Enrollment id
O20200403001292
Associate id
8426487984
Organization name
GOOD LIFE PALLIATIVE CARE
Associate id - owner
3274962956
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2019-12-20
First name - owner
HOLLIS
Last name - owner
FREDERICK
Title - owner
OWNER/ADMINISTRATOR
Percentage ownership
100
Enrollment id
O20200429001329
Associate id
3476983750
Organization name
MOUNTAINSIDE HOSPICE AND PALLIATIVE CARE, INC.
Associate id - owner
3274962956
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2022-05-19
First name - owner
HOLLIS
Last name - owner
FREDERICK
Title - owner
CEO / CFO / DIRECTOR
Percentage ownership
50
Enrollment id
O20200429001329
Associate id
3476983750
Organization name
MOUNTAINSIDE HOSPICE AND PALLIATIVE CARE, INC.
Associate id - owner
3274962956
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-05-19
First name - owner
HOLLIS
Last name - owner
FREDERICK
Title - owner
CEO / CFO / DIRECTOR
Percentage ownership
75
Enrollment id
O20200429001329
Associate id
3476983750
Organization name
MOUNTAINSIDE HOSPICE AND PALLIATIVE CARE, INC.
Associate id - owner
3274962956
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-05-19
First name - owner
HOLLIS
Last name - owner
FREDERICK
Title - owner
CEO / CFO / DIRECTOR
Percentage ownership
100
Enrollment id
O20200429001329
Associate id
3476983750
Organization name
MOUNTAINSIDE HOSPICE AND PALLIATIVE CARE, INC.
Associate id - owner
3274962956
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-04-10
First name - owner
HOLLIS
Last name - owner
FREDERICK
Title - owner
AD;CEO / CFO / DIRECTOR
Percentage ownership
100
Enrollment id
O20200429001329
Associate id
3476983750
Organization name
MOUNTAINSIDE HOSPICE AND PALLIATIVE CARE, INC.
Associate id - owner
3274962956
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-05-19
First name - owner
HOLLIS
Last name - owner
FREDERICK
Title - owner
CEO / CFO / DIRECTOR
Percentage ownership
100

This record is displayed as returned by the government data source. Open the raw file · About this dataset · Full source list