Public record

CMS Hospice All Owners

Associate id - owner: 6507184736 · 7 matching records

Enrollment id
O20190326001398
Associate id
9032459219
Organization name
SHELTER HOSPICE INC
Associate id - owner
6507184736
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2018-12-28
First name - owner
PRINCE
Middle name - owner
V
Last name - owner
SAMUEL
Title - owner
ADMINISTRATOR
Percentage ownership
100
Enrollment id
O20190326001398
Associate id
9032459219
Organization name
SHELTER HOSPICE INC
Associate id - owner
6507184736
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2018-12-28
First name - owner
PRINCE
Middle name - owner
V
Last name - owner
SAMUEL
Title - owner
ADMIN & CEO
Percentage ownership
100
Enrollment id
O20210526002830
Associate id
5193124006
Organization name
ALPHA HOSPICE PLUS INC
Associate id - owner
6507184736
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-01-01
First name - owner
PRINCE
Middle name - owner
V
Last name - owner
SAMUEL
Title - owner
DIRECTOR
Percentage ownership
100
Enrollment id
O20210526002830
Associate id
5193124006
Organization name
ALPHA HOSPICE PLUS INC
Associate id - owner
6507184736
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2021-01-01
First name - owner
PRINCE
Middle name - owner
V
Last name - owner
SAMUEL
Percentage ownership
100
Enrollment id
O20221017003370
Associate id
8820464878
Organization name
UNICARE HOSPICE INC
Associate id - owner
6507184736
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2021-10-27
First name - owner
PRINCE
Middle name - owner
V
Last name - owner
SAMUEL
Percentage ownership
100
Enrollment id
O20221017003370
Associate id
8820464878
Organization name
UNICARE HOSPICE INC
Associate id - owner
6507184736
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-08-01
First name - owner
PRINCE
Middle name - owner
V
Last name - owner
SAMUEL
Title - owner
CFO
Percentage ownership
100
Enrollment id
O20221017003370
Associate id
8820464878
Organization name
UNICARE HOSPICE INC
Associate id - owner
6507184736
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-04-21
First name - owner
PRINCE
Middle name - owner
V
Last name - owner
SAMUEL
Title - owner
MANAGING DIRECTOR
Percentage ownership
100

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