Public record

CMS Home Health Agency All Owners

Associate id: 9234550476 · 12 matching records

Enrollment id
O20200527000023
Associate id
9234550476
Organization name
GUARDIAN ANGEL HOME CARE OF SAN JOSE
Associate id - owner
0042227027
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-04-01
Organization name - owner
GUARDIAN ANGEL HOME CARE INC
Doing business as name - owner
GUARDIAN ANGEL HOSPICE CARE.
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
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
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20200527000023
Associate id
9234550476
Organization name
GUARDIAN ANGEL HOME CARE OF SAN JOSE
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
O20200527000023
Associate id
9234550476
Organization name
GUARDIAN ANGEL HOME CARE OF SAN JOSE
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
O20200527000023
Associate id
9234550476
Organization name
GUARDIAN ANGEL HOME CARE OF SAN JOSE
Associate id - owner
4789005927
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 NORTHERN CALIFORNIA
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
Y
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20200527000023
Associate id
9234550476
Organization name
GUARDIAN ANGEL HOME CARE OF SAN JOSE
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
Title - owner
CEO/DIRECTOR
Percentage ownership
100
Enrollment id
O20200527000023
Associate id
9234550476
Organization name
GUARDIAN ANGEL HOME CARE OF SAN JOSE
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/DIRECTOR
Percentage ownership
100
Enrollment id
O20200527000023
Associate id
9234550476
Organization name
GUARDIAN ANGEL HOME CARE OF SAN JOSE
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/DIRECTOR
Percentage ownership
100
Enrollment id
O20200527000023
Associate id
9234550476
Organization name
GUARDIAN ANGEL HOME CARE OF SAN JOSE
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/DIRECTOR
Percentage ownership
100
Enrollment id
O20200527000023
Associate id
9234550476
Organization name
GUARDIAN ANGEL HOME CARE OF SAN JOSE
Associate id - owner
8325469570
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-04-01
First name - owner
SANDRA
Last name - owner
GAVNEY
Title - owner
CLINICAL MANAGER
Enrollment id
O20200527000023
Associate id
9234550476
Organization name
GUARDIAN ANGEL HOME CARE OF SAN JOSE
Associate id - owner
8325469570
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-04-01
First name - owner
SANDRA
Last name - owner
GAVNEY
Title - owner
CLINICAL MANAGER
Enrollment id
O20200527000023
Associate id
9234550476
Organization name
GUARDIAN ANGEL HOME CARE OF SAN JOSE
Associate id - owner
8527021104
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-04-01
First name - owner
SUSAN
Last name - owner
FREILINO
Title - owner
ADMINISTRATOR
Enrollment id
O20200527000023
Associate id
9234550476
Organization name
GUARDIAN ANGEL HOME CARE OF SAN JOSE
Associate id - owner
8527021104
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-04-01
First name - owner
SUSAN
Last name - owner
FREILINO
Title - owner
ADMINISTRATOR

This record is displayed as returned by the government data source. Open the raw file · About this dataset · Full source list