Public record

CMS Home Health Agency All Owners

Associate id: 1850480856 · 9 matching records

Enrollment id
O20071128000588
Associate id
1850480856
Organization name
PHR OF BALTIMORE, INC.
Associate id - owner
4284541079
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2000-04-21
Organization name - owner
PROFESSIONAL HEALTHCARE RESOURCES, INC.
Address line 1 - owner
7619 LITTLE RIVER TPKE
Address line 2 - owner
STE 600
City - owner
ANNANDALE
State - owner
VA
Zip code - owner
220032628
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
CHAIN HOME OFFICE
Enrollment id
O20071128000588
Associate id
1850480856
Organization name
PHR OF BALTIMORE, INC.
Associate id - owner
4284896838
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2008-02-29
Organization name - owner
DE CESARE GST NON-GRANTOR GIFT TRUST
Address line 1 - owner
7619 LITTLE RIVER TPKE 600
City - owner
ANNANDALE
State - owner
VA
Zip code - owner
220032628
Percentage ownership
52.4
Created for acquisition - owner
Y
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
TRUST
Enrollment id
O20071128000588
Associate id
1850480856
Organization name
PHR OF BALTIMORE, INC.
Associate id - owner
5294997847
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2008-01-01
Organization name - owner
PROFESSIONAL HEALTHCARE MANAGEMENT, INC
Address line 1 - owner
7619 LITTLE RIVER TPKE 600
City - owner
ANNANDALE
State - owner
VA
Zip code - owner
220032628
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
Y
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
Enrollment id
O20071128000588
Associate id
1850480856
Organization name
PHR OF BALTIMORE, INC.
Associate id - owner
5496662280
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2006-06-26
First name - owner
RONALD
Last name - owner
DECESARE
Percentage ownership
45
Enrollment id
O20071128000588
Associate id
1850480856
Organization name
PHR OF BALTIMORE, INC.
Associate id - owner
5597734772
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2007-10-01
Organization name - owner
PHR HOLDINGS, INC.
Address line 1 - owner
7619 LITTLE RIVER TPKE
Address line 2 - owner
600
City - owner
ANNANDALE
State - owner
VA
Zip code - owner
220032628
Percentage ownership
100
Created for acquisition - owner
Y
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
Y
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
Enrollment id
O20071128000588
Associate id
1850480856
Organization name
PHR OF BALTIMORE, INC.
Associate id - owner
6800199902
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2019-09-23
First name - owner
JANE
Last name - owner
KORSAH-NTI
Title - owner
ADMINISTRATOR
Enrollment id
O20071128000588
Associate id
1850480856
Organization name
PHR OF BALTIMORE, INC.
Associate id - owner
6800199902
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-09-23
First name - owner
JANE
Last name - owner
KORSAH-NTI
Title - owner
ADMINISTRATOR
Enrollment id
O20071128000588
Associate id
1850480856
Organization name
PHR OF BALTIMORE, INC.
Associate id - owner
8123935913
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2006-06-26
First name - owner
EILEEN
Last name - owner
DECESARE
Title - owner
PRESIDENT AND BOARD CHAIR
Enrollment id
O20071128000588
Associate id
1850480856
Organization name
PHR OF BALTIMORE, INC.
Associate id - owner
8123935913
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2007-10-01
First name - owner
EILEEN
Last name - owner
DECESARE
Title - owner
PRESIDENT AND BOARD CHAIR

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