Public record

CMS Hospice All Owners

Associate id - owner: 9739583030 · 3 matching records

Enrollment id
O20210722002653
Associate id
2668875071
Organization name
JOMEL PALLIATIVE AND HOSPICE CARE INC
Associate id - owner
9739583030
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2023-02-14
First name - owner
CAROLYN
Last name - owner
MICKENS
Percentage ownership
100
Enrollment id
O20210722002653
Associate id
2668875071
Organization name
JOMEL PALLIATIVE AND HOSPICE CARE INC
Associate id - owner
9739583030
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2023-02-14
First name - owner
CAROLYN
Last name - owner
MICKENS
Percentage ownership
50
Enrollment id
O20210722002653
Associate id
2668875071
Organization name
JOMEL PALLIATIVE AND HOSPICE CARE INC
Associate id - owner
9739583030
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-02-14
First name - owner
CAROLYN
Last name - owner
MICKENS
Percentage ownership
50

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