Public record

CMS Home Health Agency All Owners

Associate id: 5991168437 · 8 matching records

Enrollment id
O20230830003272
Associate id
5991168437
Organization name
VCM HEALTHCARE LLC
Associate id - owner
2567373301
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-12-01
First name - owner
LAVONDA
Last name - owner
DAVISON
Title - owner
SUPERVISING NURSE
Enrollment id
O20230830003272
Associate id
5991168437
Organization name
VCM HEALTHCARE LLC
Associate id - owner
2961660030
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2025-11-12
First name - owner
MATHEW
Last name - owner
KORAH
Percentage ownership
25
Enrollment id
O20230830003272
Associate id
5991168437
Organization name
VCM HEALTHCARE LLC
Associate id - owner
2961660030
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-11-12
First name - owner
MATHEW
Last name - owner
KORAH
Title - owner
SECRETARY
Enrollment id
O20230830003272
Associate id
5991168437
Organization name
VCM HEALTHCARE LLC
Associate id - owner
2961660030
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-12-01
First name - owner
MATHEW
Last name - owner
KORAH
Title - owner
AD;
Enrollment id
O20230830003272
Associate id
5991168437
Organization name
VCM HEALTHCARE LLC
Associate id - owner
6901030253
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2025-11-12
First name - owner
SUMA
Middle name - owner
C
Last name - owner
JACOB
Percentage ownership
75
Enrollment id
O20230830003272
Associate id
5991168437
Organization name
VCM HEALTHCARE LLC
Associate id - owner
6901030253
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-11-12
First name - owner
SUMA
Middle name - owner
C
Last name - owner
JACOB
Title - owner
PRESIDENT
Enrollment id
O20230830003272
Associate id
5991168437
Organization name
VCM HEALTHCARE LLC
Associate id - owner
6901030253
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-12-01
First name - owner
SUMA
Middle name - owner
C
Last name - owner
JACOB
Title - owner
ALT.ADMINISTRATOR
Enrollment id
O20230830003272
Associate id
5991168437
Organization name
VCM HEALTHCARE LLC
Associate id - owner
7517311715
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-12-01
First name - owner
SHAIROSE
Last name - owner
GILANI
Title - owner
ALTERNATE SUPERVISING NURESE

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