Public record

CMS Home Health Agency All Owners

Associate id: 0840562344 · 17 matching records

Enrollment id
O20170817003312
Associate id
0840562344
Organization name
ANGELS OF CARE PEDIATRIC HOME HEALTH COLORADO LLC
Associate id - owner
0840610796
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-02-28
First name - owner
JUSTIN
Last name - owner
GUTIERREZ
Title - owner
ALTERNATE ADMINISTRATOR
Enrollment id
O20170817003312
Associate id
0840562344
Organization name
ANGELS OF CARE PEDIATRIC HOME HEALTH COLORADO LLC
Associate id - owner
2769829894
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-02-09
Organization name - owner
NAUTIC ANGELS ACQUISITION, LLC
Address line 1 - owner
50 KENNEDY PLZ
Address line 2 - owner
FL 17TH
City - owner
PROVIDENCE
State - owner
RI
Zip code - owner
029032393
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20170817003312
Associate id
0840562344
Organization name
ANGELS OF CARE PEDIATRIC HOME HEALTH COLORADO LLC
Associate id - owner
3678910700
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-02-09
Organization name - owner
NAUTIC ANGELS HOLDINGS, LLC
Address line 1 - owner
50 KENNEDY PLZ
Address line 2 - owner
FL 17TH
City - owner
PROVIDENCE
State - owner
RI
Zip code - owner
029032393
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20170817003312
Associate id
0840562344
Organization name
ANGELS OF CARE PEDIATRIC HOME HEALTH COLORADO LLC
Associate id - owner
3870732118
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2019-04-17
First name - owner
JESSICA
Middle name - owner
L
Last name - owner
RIGGS
Enrollment id
O20170817003312
Associate id
0840562344
Organization name
ANGELS OF CARE PEDIATRIC HOME HEALTH COLORADO LLC
Associate id - owner
4587001615
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-02-09
Organization name - owner
NAUTIC ANGELS PARENT HOLDINGS, LLC
Address line 1 - owner
50 KENNEDY PLZ
Address line 2 - owner
FL 17TH
City - owner
PROVIDENCE
State - owner
RI
Zip code - owner
029032393
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20170817003312
Associate id
0840562344
Organization name
ANGELS OF CARE PEDIATRIC HOME HEALTH COLORADO LLC
Associate id - owner
4688186752
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-06-01
First name - owner
MARK
Last name - owner
FRATES
Title - owner
CHIEF FINANCIAL OFFICER
Percentage ownership
0
Enrollment id
O20170817003312
Associate id
0840562344
Organization name
ANGELS OF CARE PEDIATRIC HOME HEALTH COLORADO LLC
Associate id - owner
5294103040
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-05-01
First name - owner
JUANITA
Last name - owner
MUNOZ
Title - owner
REGIONAL VP OF OPERATIONS
Percentage ownership
0
Enrollment id
O20170817003312
Associate id
0840562344
Organization name
ANGELS OF CARE PEDIATRIC HOME HEALTH COLORADO LLC
Associate id - owner
5496192528
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-02-09
Organization name - owner
NAUTIC ANGELS PARENT, LLC
Address line 1 - owner
50 KENNEDY PLZ
Address line 2 - owner
FL 17TH
City - owner
PROVIDENCE
State - owner
RI
Zip code - owner
029032393
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20170817003312
Associate id
0840562344
Organization name
ANGELS OF CARE PEDIATRIC HOME HEALTH COLORADO LLC
Associate id - owner
5698009348
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-04-17
Organization name - owner
NAUTIC ANGELS HOLDCO, LLC
Address line 1 - owner
1925 CENTURY PARK E
Address line 2 - owner
STE 1300
City - owner
LOS ANGELES
State - owner
CA
Zip code - owner
900672734
Percentage ownership
100
Created for acquisition - owner
Y
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20170817003312
Associate id
0840562344
Organization name
ANGELS OF CARE PEDIATRIC HOME HEALTH COLORADO LLC
Associate id - owner
6305283433
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-02-09
Organization name - owner
NAUTIC PARTNERS X-A, L.P.
Address line 1 - owner
50 KENNEDY PLZ
Address line 2 - owner
FL 17TH
City - owner
PROVIDENCE
State - owner
RI
Zip code - owner
029032393
Percentage ownership
44.25
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
Y
Other type text - owner
LIMITED PARTNERSHIP
Owned by another org or ind - owner
N
Enrollment id
O20170817003312
Associate id
0840562344
Organization name
ANGELS OF CARE PEDIATRIC HOME HEALTH COLORADO LLC
Associate id - owner
6305996679
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-06-01
First name - owner
RANDALL
Middle name - owner
J
Last name - owner
EDMUNDSON
Title - owner
CHIEF OPERATIONS OFFICER
Percentage ownership
0
Enrollment id
O20170817003312
Associate id
0840562344
Organization name
ANGELS OF CARE PEDIATRIC HOME HEALTH COLORADO LLC
Associate id - owner
6507190162
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-06-01
First name - owner
CASEY
Last name - owner
MASTRENO
Title - owner
ADMINISTRATOR
Percentage ownership
0
Enrollment id
O20170817003312
Associate id
0840562344
Organization name
ANGELS OF CARE PEDIATRIC HOME HEALTH COLORADO LLC
Associate id - owner
7113290719
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2017-02-10
Organization name - owner
AOC CO LLC
Address line 1 - owner
8001 S US HIGHWAY 75
City - owner
SHERMAN
State - owner
TX
Zip code - owner
750905707
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20170817003312
Associate id
0840562344
Organization name
ANGELS OF CARE PEDIATRIC HOME HEALTH COLORADO LLC
Associate id - owner
8022455153
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-02-09
Organization name - owner
NAUTIC ANGELS INTERMEDIATE HOLDINGS, LLC
Address line 1 - owner
50 KENNEDY PLZ
Address line 2 - owner
FL 17TH
City - owner
PROVIDENCE
State - owner
RI
Zip code - owner
029032393
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20170817003312
Associate id
0840562344
Organization name
ANGELS OF CARE PEDIATRIC HOME HEALTH COLORADO LLC
Associate id - owner
8325372071
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2019-04-17
Organization name - owner
AOC OPCO LLC
Address line 1 - owner
8001 S US HIGHWAY 75
Address line 2 - owner
STE 200
City - owner
SHERMAN
State - owner
TX
Zip code - owner
750905707
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
Y
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20170817003312
Associate id
0840562344
Organization name
ANGELS OF CARE PEDIATRIC HOME HEALTH COLORADO LLC
Associate id - owner
9234576208
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-02-09
Organization name - owner
AOC BLOCKER CORP
Address line 1 - owner
50 KENNEDY PLZ
Address line 2 - owner
FL 17TH
City - owner
PROVIDENCE
State - owner
RI
Zip code - owner
029032393
Percentage ownership
15.2
Created for acquisition - owner
N
Corporation - owner
Y
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Owned by another org or ind - owner
Y
Enrollment id
O20170817003312
Associate id
0840562344
Organization name
ANGELS OF CARE PEDIATRIC HOME HEALTH COLORADO LLC
Associate id - owner
9931546066
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-02-09
Organization name - owner
NAUTIC CAPITAL X, L.P.
Address line 1 - owner
50 KENNEDY PLZ
Address line 2 - owner
FL 17TH
City - owner
PROVIDENCE
State - owner
RI
Zip code - owner
029032393
Percentage ownership
55.74
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
Y
Other type text - owner
LIMITED PARTNERSHIP
Owned by another org or ind - owner
N

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