Public record

CMS Home Health Agency All Owners

Associate id: 7012320625 · 17 matching records

Enrollment id
O20201228001800
Associate id
7012320625
Organization name
ACCENTCARE FAIRVIEW HOME HEALTH - WEST, LLC
Associate id - owner
0042622276
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-11-02
Organization name - owner
ACCENTCARE FAIRVIEW, LLC
Address line 1 - owner
17855 DALLAS PKWY
Address line 2 - owner
STE 200
City - owner
DALLAS
State - owner
TX
Zip code - owner
752876857
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
Y
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
Owned by another org or ind - owner
Y
Enrollment id
O20201228001800
Associate id
7012320625
Organization name
ACCENTCARE FAIRVIEW HOME HEALTH - WEST, LLC
Associate id - owner
0749436780
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-10-17
First name - owner
JAMIE
Last name - owner
BERGREN-HANISH
Title - owner
ADMINISTRATOR
Enrollment id
O20201228001800
Associate id
7012320625
Organization name
ACCENTCARE FAIRVIEW HOME HEALTH - WEST, LLC
Associate id - owner
0749515443
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-21
Organization name - owner
ADVENT INTERNATIONAL GPE VIII-B, L.P.
Address line 1 - owner
800 BOYLSTON ST
Address line 2 - owner
SPC 33
City - owner
BOSTON
State - owner
MA
Zip code - owner
021998074
Percentage ownership
12.08
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
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
Y
Other type text - owner
LP
Owned by another org or ind - owner
Y
Enrollment id
O20201228001800
Associate id
7012320625
Organization name
ACCENTCARE FAIRVIEW HOME HEALTH - WEST, LLC
Associate id - owner
0840525549
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-11-02
Organization name - owner
HORIZON ACQUISITION CO INC.
Address line 1 - owner
800 BOYLSTON ST
Address line 2 - owner
SPC 33
City - owner
BOSTON
State - owner
MA
Zip code - owner
021998074
Percentage ownership
80
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
Owned by another org or ind - owner
Y
Enrollment id
O20201228001800
Associate id
7012320625
Organization name
ACCENTCARE FAIRVIEW HOME HEALTH - WEST, LLC
Associate id - owner
1658784269
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2020-11-02
Organization name - owner
ACFV HOLDING COMPANY - WEST, LLC
Address line 1 - owner
17855 DALLAS PKWY
Address line 2 - owner
STE 200
City - owner
DALLAS
State - owner
TX
Zip code - owner
752876857
Percentage ownership
100
Created for acquisition - owner
Y
Corporation - owner
N
Llc - owner
Y
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
Owned by another org or ind - owner
Y
Enrollment id
O20201228001800
Associate id
7012320625
Organization name
ACCENTCARE FAIRVIEW HOME HEALTH - WEST, LLC
Associate id - owner
1759616451
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-11-02
Organization name - owner
HORIZON GROUP HOLDINGS INTERMEDIATE 2, INC.
Address line 1 - owner
800 BOYLSTON ST
Address line 2 - owner
SPC 33
City - owner
BOSTON
State - owner
MA
Zip code - owner
021998074
Percentage ownership
80
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
Owned by another org or ind - owner
Y
Enrollment id
O20201228001800
Associate id
7012320625
Organization name
ACCENTCARE FAIRVIEW HOME HEALTH - WEST, LLC
Associate id - owner
1850706326
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-21
Organization name - owner
SEASONS ROLLOVER HOLDINGS LLC
Address line 1 - owner
6400 SHAFER CT
Address line 2 - owner
STE 700
City - owner
ROSEMONT
State - owner
IL
Zip code - owner
600184989
Percentage ownership
12.32
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
Y
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
Owned by another org or ind - owner
Y
Enrollment id
O20201228001800
Associate id
7012320625
Organization name
ACCENTCARE FAIRVIEW HOME HEALTH - WEST, LLC
Associate id - owner
1951213057
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-11-02
Organization name - owner
FAIRVIEW HEALTH SERVICES
Doing business as name - owner
FAIRVIEW LAKES HOSPITAL
Address line 1 - owner
2450 RIVERSIDE AVE
City - owner
MINNEAPOLIS
State - owner
MN
Zip code - owner
55454
Percentage ownership
20
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
Owned by another org or ind - owner
N
Enrollment id
O20201228001800
Associate id
7012320625
Organization name
ACCENTCARE FAIRVIEW HOME HEALTH - WEST, LLC
Associate id - owner
2668707365
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-11-02
Organization name - owner
HORIZON GROUP HOLDINGS INTERMEDIATE 1, INC.
Address line 1 - owner
800 BOYLSTON ST
Address line 2 - owner
SPC 33
City - owner
BOSTON
State - owner
MA
Zip code - owner
021998074
Percentage ownership
80
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
Owned by another org or ind - owner
Y
Enrollment id
O20201228001800
Associate id
7012320625
Organization name
ACCENTCARE FAIRVIEW HOME HEALTH - WEST, LLC
Associate id - owner
3577898279
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-11-02
Organization name - owner
HORIZON GROUP HOLDINGS, L.P.
Address line 1 - owner
800 BOYLSTON ST
Address line 2 - owner
SPC 33
City - owner
BOSTON
State - owner
MA
Zip code - owner
021998074
Percentage ownership
80
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
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
Y
Other type text - owner
LP
Owned by another org or ind - owner
Y
Enrollment id
O20201228001800
Associate id
7012320625
Organization name
ACCENTCARE FAIRVIEW HOME HEALTH - WEST, LLC
Associate id - owner
6204161904
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-21
Organization name - owner
ADVENT INTERNATIONAL GPE VIII-B-3, L.P.
Address line 1 - owner
800 BOYLSTON ST
Address line 2 - owner
SPC 33
City - owner
BOSTON
State - owner
MA
Zip code - owner
021998074
Percentage ownership
5.04
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
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
Y
Other type text - owner
LP
Owned by another org or ind - owner
Y
Enrollment id
O20201228001800
Associate id
7012320625
Organization name
ACCENTCARE FAIRVIEW HOME HEALTH - WEST, LLC
Associate id - owner
6204239676
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-01-27
First name - owner
HEATHER
Last name - owner
SISCEL
Title - owner
ASST SECRETARY
Enrollment id
O20201228001800
Associate id
7012320625
Organization name
ACCENTCARE FAIRVIEW HOME HEALTH - WEST, LLC
Associate id - owner
7012242712
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-21
Organization name - owner
ADVENT INTERNATIONAL GPE VIII-A LP
Address line 1 - owner
800 BOYLSTON ST
Address line 2 - owner
SPC 33
City - owner
BOSTON
State - owner
MA
Zip code - owner
021998074
Percentage ownership
8.96
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
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
Y
Other type text - owner
LP
Owned by another org or ind - owner
Y
Enrollment id
O20201228001800
Associate id
7012320625
Organization name
ACCENTCARE FAIRVIEW HOME HEALTH - WEST, LLC
Associate id - owner
9032166616
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-11-02
Organization name - owner
ACCENTCARE, INC.
Address line 1 - owner
17855 DALLAS PKWY
Address line 2 - owner
STE 200
City - owner
DALLAS
State - owner
TX
Zip code - owner
752876857
Percentage ownership
80
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
Owned by another org or ind - owner
Y
Enrollment id
O20201228001800
Associate id
7012320625
Organization name
ACCENTCARE FAIRVIEW HOME HEALTH - WEST, LLC
Associate id - owner
9032418983
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-11-02
First name - owner
DENA
Last name - owner
SCHWARTZ-DOTY
Title - owner
ASST CORPORATE SECRETARY
Enrollment id
O20201228001800
Associate id
7012320625
Organization name
ACCENTCARE FAIRVIEW HOME HEALTH - WEST, LLC
Associate id - owner
9032418983
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-11-02
First name - owner
DENA
Last name - owner
SCHWARTZ-DOTY
Enrollment id
O20201228001800
Associate id
7012320625
Organization name
ACCENTCARE FAIRVIEW HOME HEALTH - WEST, LLC
Associate id - owner
9830371053
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-11-02
Organization name - owner
PLUTO ACQUISITION I INC
Address line 1 - owner
17855 DALLAS PKWY
Address line 2 - owner
STE 200
City - owner
DALLAS
State - owner
TX
Zip code - owner
752876857
Percentage ownership
80
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
Owned by another org or ind - owner
Y

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