Public record

CMS Home Health Agency All Owners

Associate id: 5698051241 · 13 matching records

Enrollment id
O20170413001060
Associate id
5698051241
Organization name
SUNNYSIDE HOME HEALTH
Associate id - owner
1658280896
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2016-11-21
Organization name - owner
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION
Doing business as name - owner
ASTRIA SUNNYSIDE HOSPITAL
Address line 1 - owner
812 MILLER AVE
Address line 2 - owner
STE A
City - owner
SUNNYSIDE
State - owner
WA
Zip code - owner
989442377
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
Y
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
Y
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20170413001060
Associate id
5698051241
Organization name
SUNNYSIDE HOME HEALTH
Associate id - owner
1658280896
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2016-11-21
Organization name - owner
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION
Doing business as name - owner
ASTRIA SUNNYSIDE HOSPITAL
Address line 1 - owner
812 MILLER AVE
Address line 2 - owner
STE A
City - owner
SUNNYSIDE
State - owner
WA
Zip code - owner
989442377
Percentage ownership
100
Corporation - owner
Y
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
Y
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20170413001060
Associate id
5698051241
Organization name
SUNNYSIDE HOME HEALTH
Associate id - owner
3072665512
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2017-01-26
First name - owner
BRIAN
Middle name - owner
P
Last name - owner
GIBBONS
Title - owner
PRESIDENT, CEO
Enrollment id
O20170413001060
Associate id
5698051241
Organization name
SUNNYSIDE HOME HEALTH
Associate id - owner
3072665512
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2017-01-26
First name - owner
BRIAN
Middle name - owner
P
Last name - owner
GIBBONS
Title - owner
PRESIDENT, CEO
Enrollment id
O20170413001060
Associate id
5698051241
Organization name
SUNNYSIDE HOME HEALTH
Associate id - owner
3072665512
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2017-01-26
First name - owner
BRIAN
Middle name - owner
P
Last name - owner
GIBBONS
Title - owner
PRESIDENT, CEO
Enrollment id
O20170413001060
Associate id
5698051241
Organization name
SUNNYSIDE HOME HEALTH
Associate id - owner
3870818347
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-11-21
First name - owner
CASTULO
Middle name - owner
T
Last name - owner
ARTEAGA
Title - owner
BOARD MEMBER
Percentage ownership
100
Enrollment id
O20170413001060
Associate id
5698051241
Organization name
SUNNYSIDE HOME HEALTH
Associate id - owner
5092030551
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-11-21
First name - owner
PEGGY
Middle name - owner
I
Last name - owner
BREWER
Title - owner
BOARD MEMBER
Percentage ownership
10
Enrollment id
O20170413001060
Associate id
5698051241
Organization name
SUNNYSIDE HOME HEALTH
Associate id - owner
7113020488
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-01-01
First name - owner
MAXWELL
Last name - owner
OWENS
Enrollment id
O20170413001060
Associate id
5698051241
Organization name
SUNNYSIDE HOME HEALTH
Associate id - owner
7113020488
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-01-01
First name - owner
MAXWELL
Last name - owner
OWENS
Enrollment id
O20170413001060
Associate id
5698051241
Organization name
SUNNYSIDE HOME HEALTH
Associate id - owner
7113020488
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-01-01
First name - owner
MAXWELL
Last name - owner
OWENS
Enrollment id
O20170413001060
Associate id
5698051241
Organization name
SUNNYSIDE HOME HEALTH
Associate id - owner
8628393188
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-01-01
First name - owner
CHRISTINA
Last name - owner
RIVAS
Title - owner
OFFICER
Enrollment id
O20170413001060
Associate id
5698051241
Organization name
SUNNYSIDE HOME HEALTH
Associate id - owner
8921382557
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2016-11-21
Organization name - owner
ASTRIA HEALTH
Address line 1 - owner
812 MILLER AVE
Address line 2 - owner
STE A
City - owner
SUNNYSIDE
State - owner
WA
Zip code - owner
989442377
Percentage ownership
100
Created for acquisition - owner
N
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
Y
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20170413001060
Associate id
5698051241
Organization name
SUNNYSIDE HOME HEALTH
Associate id - owner
9638453269
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2016-11-21
First name - owner
ASUSENA
Last name - owner
FONSECA
Title - owner
BOARD MEMBER
Percentage ownership
100

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