Public record

CMS Hospice All Owners

Associate id - owner: 6002235785 · 4 matching records

Enrollment id
O20200930001517
Associate id
5991124620
Organization name
PERENNIAL HOSPICE INC
Associate id - owner
6002235785
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2020-08-26
First name - owner
BRITTANY
Middle name - owner
M
Last name - owner
CLARK
Percentage ownership
25
Enrollment id
O20200930001517
Associate id
5991124620
Organization name
PERENNIAL HOSPICE INC
Associate id - owner
6002235785
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-08-26
First name - owner
BRITTANY
Middle name - owner
M
Last name - owner
CLARK
Title - owner
25% OWNER/CFO/BOARD MEMBER
Percentage ownership
25
Enrollment id
O20200930001517
Associate id
5991124620
Organization name
PERENNIAL HOSPICE INC
Associate id - owner
6002235785
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-08-26
First name - owner
BRITTANY
Middle name - owner
M
Last name - owner
CLARK
Title - owner
25% OWNER/CFO/BOARD MEMBER
Percentage ownership
25
Enrollment id
O20200930001517
Associate id
5991124620
Organization name
PERENNIAL HOSPICE INC
Associate id - owner
6002235785
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-08-26
First name - owner
BRITTANY
Middle name - owner
M
Last name - owner
CLARK
Title - owner
25% OWNER/CFO/BOARD MEMBER
Percentage ownership
25

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