Public record

CMS Home Health Agency All Owners

Associate id: 4981515293 · 7 matching records

Enrollment id
O20030909000008
Associate id
4981515293
Organization name
AMERICAN FAMILY CONNECTIONS, INC
Associate id - owner
2365571353
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-08-15
First name - owner
ELSY J
Last name - owner
BENJAMIN
Title - owner
DIRECTOR OF NURSING
Percentage ownership
0
Enrollment id
O20030909000008
Associate id
4981515293
Organization name
AMERICAN FAMILY CONNECTIONS, INC
Associate id - owner
2365571353
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-08-15
First name - owner
ELSY J
Last name - owner
BENJAMIN
Title - owner
DIRECTOR OF NURSING
Percentage ownership
0
Enrollment id
O20030909000008
Associate id
4981515293
Organization name
AMERICAN FAMILY CONNECTIONS, INC
Associate id - owner
4789741257
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2024-08-15
First name - owner
ROY
Middle name - owner
ARKINETHY
Last name - owner
KOSHY
Title - owner
OWNER
Percentage ownership
100
Enrollment id
O20030909000008
Associate id
4981515293
Organization name
AMERICAN FAMILY CONNECTIONS, INC
Associate id - owner
4789741257
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-08-15
First name - owner
ROY
Middle name - owner
ARKINETHY
Last name - owner
KOSHY
Title - owner
PRESIDENT
Percentage ownership
100
Enrollment id
O20030909000008
Associate id
4981515293
Organization name
AMERICAN FAMILY CONNECTIONS, INC
Associate id - owner
4789741257
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-08-15
First name - owner
ROY
Middle name - owner
ARKINETHY
Last name - owner
KOSHY
Title - owner
ADMINISTRATOR
Percentage ownership
100
Enrollment id
O20030909000008
Associate id
4981515293
Organization name
AMERICAN FAMILY CONNECTIONS, INC
Associate id - owner
5597242099
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-08-15
First name - owner
BENILA
Last name - owner
THOMAS
Title - owner
ALTERNATE ADMINISTRATOR/ADON
Percentage ownership
0
Enrollment id
O20030909000008
Associate id
4981515293
Organization name
AMERICAN FAMILY CONNECTIONS, INC
Associate id - owner
5597242099
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-08-15
First name - owner
BENILA
Last name - owner
THOMAS
Title - owner
ALTERNATE ADMINISTRATOR/ADON
Percentage ownership
0

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