- Enrollment id
- O20201130001866
- Associate id
- 5597176362
- Organization name
- FIVE STAR HOSPICE AND PALLIATIVE CARE LLC
- Associate id - owner
- 7911800339
- Type - owner
- I
- Role code - owner
- 34
- Role text - owner
- 5% OR GREATER DIRECT OWNERSHIP INTEREST
- Association date - owner
- 2019-10-22
- First name - owner
- IMTIAZ
- Last name - owner
- AHMED
- Percentage ownership
- 100
- Enrollment id
- O20201130001866
- Associate id
- 5597176362
- Organization name
- FIVE STAR HOSPICE AND PALLIATIVE CARE LLC
- Associate id - owner
- 7911800339
- Type - owner
- I
- Role code - owner
- 41
- Role text - owner
- CORPORATE DIRECTOR
- Association date - owner
- 2019-10-22
- First name - owner
- IMTIAZ
- Last name - owner
- AHMED
- Title - owner
- PRESIDENT
- Percentage ownership
- 50
- Enrollment id
- O20201130001866
- Associate id
- 5597176362
- Organization name
- FIVE STAR HOSPICE AND PALLIATIVE CARE LLC
- Associate id - owner
- 7911800339
- Type - owner
- I
- Role code - owner
- 42
- Role text - owner
- W-2 MANAGING EMPLOYEE
- Association date - owner
- 2019-10-22
- First name - owner
- IMTIAZ
- Last name - owner
- AHMED
- Title - owner
- PRESIDENT
- Percentage ownership
- 100