Public record

CMS Hospice All Owners

Associate id - owner: 7618069667 · 3 matching records

Enrollment id
O20120907000410
Associate id
4880842335
Organization name
COVENANT GRACE HOSPICE, INC.
Associate id - owner
7618069667
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-05-31
First name - owner
VIJAY
Last name - owner
KORIMILLI
Title - owner
MD;
Percentage ownership
100
Enrollment id
O20160831002973
Associate id
5991091894
Organization name
FAIRMONT HOSPICE LLC
Associate id - owner
7618069667
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2021-07-28
First name - owner
VIJAY
Last name - owner
KORIMILLI
Title - owner
MD;
Percentage ownership
100
Enrollment id
O20210910000442
Associate id
1850797259
Organization name
RELIEF HERO PALLIATIVE INC
Associate id - owner
7618069667
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-05-31
First name - owner
VIJAY
Last name - owner
KORIMILLI
Title - owner
MD;HOSPICE MEDICAL DIRECTOR
Percentage ownership
100

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