Public record

CMS Home Health Agency All Owners

Associate id: 2567999881 · 7 matching records

Enrollment id
O20241227002678
Associate id
2567999881
Organization name
PRIME CARE HOME HEALTH INC
Associate id - owner
0648707968
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-12-18
First name - owner
MARISOL
Last name - owner
DARGE
Title - owner
ACTING DIRECTOR OF NURSING
Enrollment id
O20241227002678
Associate id
2567999881
Organization name
PRIME CARE HOME HEALTH INC
Associate id - owner
1052715034
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2024-03-05
First name - owner
MOHAMMED
Middle name - owner
AHMED
Last name - owner
IGEH
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20241227002678
Associate id
2567999881
Organization name
PRIME CARE HOME HEALTH INC
Associate id - owner
1052715034
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-03-05
First name - owner
MOHAMMED
Middle name - owner
AHMED
Last name - owner
IGEH
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20241227002678
Associate id
2567999881
Organization name
PRIME CARE HOME HEALTH INC
Associate id - owner
1052715034
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-03-05
First name - owner
MOHAMMED
Middle name - owner
AHMED
Last name - owner
IGEH
Title - owner
PRESIDENT
Percentage ownership
100
Enrollment id
O20241227002678
Associate id
2567999881
Organization name
PRIME CARE HOME HEALTH INC
Associate id - owner
1052715034
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-03-05
First name - owner
MOHAMMED
Middle name - owner
AHMED
Last name - owner
IGEH
Title - owner
AD;
Enrollment id
O20241227002678
Associate id
2567999881
Organization name
PRIME CARE HOME HEALTH INC
Associate id - owner
8820525140
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-12-18
First name - owner
KAREN
Last name - owner
BIBOBRA
Title - owner
DIRECTOR OF NURSING
Enrollment id
O20241227002678
Associate id
2567999881
Organization name
PRIME CARE HOME HEALTH INC
Associate id - owner
9739616053
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-12-18
First name - owner
ABDILLAHI
Last name - owner
FARAH
Title - owner
OFFICE MANAGER

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