Public record

CMS Home Health Agency All Owners

Associate id: 3072974518 · 4 matching records

Enrollment id
O20230801001735
Associate id
3072974518
Organization name
FORUM HEALTH SERVICES, INC.
Associate id - owner
2567763139
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2022-01-06
First name - owner
SERGEY
Last name - owner
BEDROSSIAN
Percentage ownership
100
Enrollment id
O20230801001735
Associate id
3072974518
Organization name
FORUM HEALTH SERVICES, INC.
Associate id - owner
2567763139
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-01-06
First name - owner
SERGEY
Last name - owner
BEDROSSIAN
Title - owner
CEO/CFO
Percentage ownership
100
Enrollment id
O20230801001735
Associate id
3072974518
Organization name
FORUM HEALTH SERVICES, INC.
Associate id - owner
2567763139
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-10
First name - owner
SERGEY
Last name - owner
BEDROSSIAN
Title - owner
DPCS/ADMINISTRATOR
Percentage ownership
100
Enrollment id
O20230801001735
Associate id
3072974518
Organization name
FORUM HEALTH SERVICES, INC.
Associate id - owner
2567763139
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-01-10
First name - owner
SERGEY
Last name - owner
BEDROSSIAN
Title - owner
CEO/CFO
Percentage ownership
100

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