Public record

CMS Home Health Agency All Owners

Associate id: 6507775749 · 7 matching records

Enrollment id
O20030317000014
Associate id
6507775749
Organization name
HARTFORD HEALTHCARE AT HOME, INC
Associate id - owner
0042375271
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-07-01
First name - owner
GERALD
Last name - owner
BOISVERT
Title - owner
VICE PRESIDENT
Enrollment id
O20030317000014
Associate id
6507775749
Organization name
HARTFORD HEALTHCARE AT HOME, INC
Associate id - owner
0042375271
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2019-07-01
First name - owner
GERALD
Last name - owner
BOISVERT
Title - owner
VICE PRESIDENT
Enrollment id
O20030317000014
Associate id
6507775749
Organization name
HARTFORD HEALTHCARE AT HOME, INC
Associate id - owner
5092619874
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-11-01
First name - owner
DAVID
Last name - owner
BARANIK
Enrollment id
O20030317000014
Associate id
6507775749
Organization name
HARTFORD HEALTHCARE AT HOME, INC
Associate id - owner
5092619874
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2017-11-01
First name - owner
DAVID
Last name - owner
BARANIK
Title - owner
REGIONAL VP OF FINANCE
Enrollment id
O20030317000014
Associate id
6507775749
Organization name
HARTFORD HEALTHCARE AT HOME, INC
Associate id - owner
5991925208
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-12-01
First name - owner
CHIBUEZE
Last name - owner
AGBA
Title - owner
BOARD OF DIRECTOR
Enrollment id
O20030317000014
Associate id
6507775749
Organization name
HARTFORD HEALTHCARE AT HOME, INC
Associate id - owner
6507773496
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2013-10-18
Organization name - owner
HARTFORD HEALTHCARE CORPORATION
Address line 1 - owner
1 STATE ST
City - owner
HARTFORD
State - owner
CT
Zip code - owner
061033100
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
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20030317000014
Associate id
6507775749
Organization name
HARTFORD HEALTHCARE AT HOME, INC
Associate id - owner
7911382130
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-12-01
First name - owner
ERIC
Last name - owner
SMULLEN
Title - owner
BOARD OF DIRECTOR

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