Public record

CMS Home Health Agency All Owners

Associate id: 8022376250 · 14 matching records

Enrollment id
O20171218001134
Associate id
8022376250
Organization name
FAITH HEALTHCARE LLC
Associate id - owner
0446255913
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-08-22
First name - owner
BEVERLY
Middle name - owner
A
Last name - owner
KIMZEY
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20171218001134
Associate id
8022376250
Organization name
FAITH HEALTHCARE LLC
Associate id - owner
0446255913
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-08-22
First name - owner
BEVERLY
Middle name - owner
A
Last name - owner
KIMZEY
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20171218001134
Associate id
8022376250
Organization name
FAITH HEALTHCARE LLC
Associate id - owner
0749712917
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-08-22
First name - owner
BILL
Last name - owner
CREACH
Percentage ownership
37.8
Enrollment id
O20171218001134
Associate id
8022376250
Organization name
FAITH HEALTHCARE LLC
Associate id - owner
2567994734
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-08-22
First name - owner
SHARLA
Last name - owner
CREACH
Percentage ownership
35.9
Enrollment id
O20171218001134
Associate id
8022376250
Organization name
FAITH HEALTHCARE LLC
Associate id - owner
2769914647
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-08-22
Organization name - owner
BILL CREACH IRREVOCABLE TRUST FOR CHARLES R CREACH
Address line 1 - owner
1592 NE SEAHORSE PL
City - owner
JENSEN BEACH
State - owner
FL
Zip code - owner
349576357
Percentage ownership
6.5
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
TRUST
Enrollment id
O20171218001134
Associate id
8022376250
Organization name
FAITH HEALTHCARE LLC
Associate id - owner
3678005550
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-08-22
Organization name - owner
CFH01 SACRED HEART, LLC
Address line 1 - owner
1592 NE SEAHORSE PL
City - owner
JENSEN BEACH
State - owner
FL
Zip code - owner
349576357
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
Y
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
O20171218001134
Associate id
8022376250
Organization name
FAITH HEALTHCARE LLC
Associate id - owner
3678005568
Type - owner
I
Role code - owner
44
Role text - owner
OTHER
Association date - owner
2024-08-22
First name - owner
CHARLES
Middle name - owner
R
Last name - owner
CREACH
Percentage ownership
0
Enrollment id
O20171218001134
Associate id
8022376250
Organization name
FAITH HEALTHCARE LLC
Associate id - owner
4587196464
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-08-22
Organization name - owner
BILL CREACH IRREVOCABLE TRUST FOR BILL E CREACH
Address line 1 - owner
1592 NE SEAHORSE PL
City - owner
JENSEN BEACH
State - owner
FL
Zip code - owner
349576357
Percentage ownership
5.9
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
TRUST
Enrollment id
O20171218001134
Associate id
8022376250
Organization name
FAITH HEALTHCARE LLC
Associate id - owner
5496287385
Type - owner
I
Role code - owner
44
Role text - owner
OTHER
Association date - owner
2024-08-22
First name - owner
FREDERICK
Middle name - owner
R
Last name - owner
CREACH
Percentage ownership
0
Enrollment id
O20171218001134
Associate id
8022376250
Organization name
FAITH HEALTHCARE LLC
Associate id - owner
6305378282
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2024-08-22
Organization name - owner
BILL CREACH IRREVOCABLE TRUST FOR FREDERICK R CREACH
Address line 1 - owner
1592 NE SEAHORSE PL
City - owner
JENSEN BEACH
State - owner
FL
Zip code - owner
349576357
Percentage ownership
5.8
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
TRUST
Enrollment id
O20171218001134
Associate id
8022376250
Organization name
FAITH HEALTHCARE LLC
Associate id - owner
8921412941
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2022-03-14
Organization name - owner
SACRED HEART HEALTH, INC.
Address line 1 - owner
11827 W 112TH ST
Address line 2 - owner
STE 100
City - owner
OVERLAND PARK
State - owner
KS
Zip code - owner
662102700
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
O20171218001134
Associate id
8022376250
Organization name
FAITH HEALTHCARE LLC
Associate id - owner
8921412941
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2022-03-14
Organization name - owner
SACRED HEART HEALTH, INC.
Address line 1 - owner
11827 W 112TH ST
Address line 2 - owner
STE 100
City - owner
OVERLAND PARK
State - owner
KS
Zip code - owner
662102700
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
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20171218001134
Associate id
8022376250
Organization name
FAITH HEALTHCARE LLC
Associate id - owner
9032641923
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-08-22
First name - owner
BILL
Middle name - owner
E
Last name - owner
CREACH
Title - owner
CHAIRMAN OF THE BOARD
Percentage ownership
100
Enrollment id
O20171218001134
Associate id
8022376250
Organization name
FAITH HEALTHCARE LLC
Associate id - owner
9032641923
Type - owner
I
Role code - owner
44
Role text - owner
OTHER
Association date - owner
2024-08-22
First name - owner
BILL
Middle name - owner
E
Last name - owner
CREACH
Percentage ownership
0

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