Public record

CMS Home Health Agency All Owners

Associate id: 8921429143 · 8 matching records

Enrollment id
O20200526001848
Associate id
8921429143
Organization name
GUARDIAN ANGEL HOME CARE OF COLUMBUS
Associate id - owner
2860822178
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-04-01
First name - owner
GERALD
Last name - owner
KUSTRA
Title - owner
BOARD MEMBER
Enrollment id
O20200526001848
Associate id
8921429143
Organization name
GUARDIAN ANGEL HOME CARE OF COLUMBUS
Associate id - owner
3779588330
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-04-01
First name - owner
FAYE
Last name - owner
KASSAB
Title - owner
BOARD MEMBER
Enrollment id
O20200526001848
Associate id
8921429143
Organization name
GUARDIAN ANGEL HOME CARE OF COLUMBUS
Associate id - owner
5092298398
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2026-03-11
First name - owner
JACLYN
Last name - owner
BACHIK
Title - owner
AD;CLINICAL MANAGER
Enrollment id
O20200526001848
Associate id
8921429143
Organization name
GUARDIAN ANGEL HOME CARE OF COLUMBUS
Associate id - owner
5698686160
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-04-01
First name - owner
SAM
Middle name - owner
D
Last name - owner
KASSAB
Enrollment id
O20200526001848
Associate id
8921429143
Organization name
GUARDIAN ANGEL HOME CARE OF COLUMBUS
Associate id - owner
5698686160
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-04-01
First name - owner
SAM
Middle name - owner
D
Last name - owner
KASSAB
Title - owner
CEO- DIR
Enrollment id
O20200526001848
Associate id
8921429143
Organization name
GUARDIAN ANGEL HOME CARE OF COLUMBUS
Associate id - owner
5698686160
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-04-01
First name - owner
SAM
Middle name - owner
D
Last name - owner
KASSAB
Title - owner
CEO -DIR
Enrollment id
O20200526001848
Associate id
8921429143
Organization name
GUARDIAN ANGEL HOME CARE OF COLUMBUS
Associate id - owner
5698686160
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-04-01
First name - owner
SAM
Middle name - owner
D
Last name - owner
KASSAB
Title - owner
CEO-DIR
Enrollment id
O20200526001848
Associate id
8921429143
Organization name
GUARDIAN ANGEL HOME CARE OF COLUMBUS
Associate id - owner
6103247317
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2020-04-01
Organization name - owner
GUARDIAN ANGEL HOME CARE OF OHIO LLC
Address line 1 - owner
1715 NORTHFIELD DR
City - owner
ROCHESTER HILLS
State - owner
MI
Zip code - owner
483093819
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

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