Public record

CMS Hospice All Owners

Associate id - owner: 7719960434 · 4 matching records

Enrollment id
O20110815000310
Associate id
9931378601
Organization name
ANGEL'S SMILE HOSPICE, INC.
Associate id - owner
7719960434
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2020-01-27
First name - owner
JACOB
Middle name - owner
N
Last name - owner
FLORES
Title - owner
CEO
Percentage ownership
30
Enrollment id
O20110815000310
Associate id
9931378601
Organization name
ANGEL'S SMILE HOSPICE, INC.
Associate id - owner
7719960434
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-01-27
First name - owner
JACOB
Middle name - owner
N
Last name - owner
FLORES
Title - owner
CEO
Percentage ownership
30
Enrollment id
O20110815000310
Associate id
9931378601
Organization name
ANGEL'S SMILE HOSPICE, INC.
Associate id - owner
7719960434
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-01-27
First name - owner
JACOB
Middle name - owner
N
Last name - owner
FLORES
Title - owner
CEO
Percentage ownership
30
Enrollment id
O20110815000310
Associate id
9931378601
Organization name
ANGEL'S SMILE HOSPICE, INC.
Associate id - owner
7719960434
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2018-06-01
First name - owner
JACOB
Middle name - owner
N
Last name - owner
FLORES
Title - owner
MD;

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