Public record

CMS Home Health Agency All Owners

Associate id: 3274672373 · 4 matching records

Enrollment id
O20091203000092
Associate id
3274672373
Organization name
CLOVER HEALTH LLC
Associate id - owner
8022386929
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-01-31
First name - owner
JOHN
Last name - owner
THOMAS
Title - owner
ADMINSTRATOR
Enrollment id
O20091203000092
Associate id
3274672373
Organization name
CLOVER HEALTH LLC
Associate id - owner
8325340185
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2016-06-25
First name - owner
SHIBU
Last name - owner
CHACKO
Title - owner
SUPERVISING NURSE
Enrollment id
O20091203000092
Associate id
3274672373
Organization name
CLOVER HEALTH LLC
Associate id - owner
8921072265
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2016-06-25
First name - owner
KURIACHAN
Last name - owner
UDUPP
Percentage ownership
100
Enrollment id
O20091203000092
Associate id
3274672373
Organization name
CLOVER HEALTH LLC
Associate id - owner
8921072265
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-06-25
First name - owner
KURIACHAN
Last name - owner
UDUPP
Title - owner
DIRECTOR

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