Public record

CMS Hospice All Owners

Associate id - owner: 3870906738 · 4 matching records

Enrollment id: O20190206002476
Associate id: 0547491102
Organization name: WHITE ROSE HOSPICE INC
Associate id - owner: 3870906738
Type - owner: I
Role code - owner: 34
Role text - owner: 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner: 2020-12-01
First name - owner: HAKEEM
Last name - owner: FAHM
Title - owner: CFO/BOARD MEMBER
Percentage ownership: 50

Enrollment id: O20190206002476
Associate id: 0547491102
Organization name: WHITE ROSE HOSPICE INC
Associate id - owner: 3870906738
Type - owner: I
Role code - owner: 40
Role text - owner: CORPORATE OFFICER
Association date - owner: 2020-12-01
First name - owner: HAKEEM
Last name - owner: FAHM
Title - owner: CFO/BOARD MEMBER
Percentage ownership: 50

Enrollment id: O20190206002476
Associate id: 0547491102
Organization name: WHITE ROSE HOSPICE INC
Associate id - owner: 3870906738
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2020-12-01
First name - owner: HAKEEM
Last name - owner: FAHM
Title - owner: CFO/BOARD MEMBER
Percentage ownership: 50

Enrollment id: O20190206002476
Associate id: 0547491102
Organization name: WHITE ROSE HOSPICE INC
Associate id - owner: 3870906738
Type - owner: I
Role code - owner: 42
Role text - owner: W-2 MANAGING EMPLOYEE
Association date - owner: 2020-12-01
First name - owner: HAKEEM
Last name - owner: FAHM
Title - owner: CFO/BOARD MEMBER
Percentage ownership: 50

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