Public record

CMS Home Health Agency All Owners

Associate id: 9638238694 · 19 matching records

Enrollment id
O20081105000315
Associate id
9638238694
Organization name
BROOKS HOME CARE ADVANTAGE, INC.
Associate id - owner
1153646831
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2017-06-09
Organization name - owner
GENESIS HEALTH INC
Address line 1 - owner
3599 UNIVERSITY BLVD S
City - owner
JACKSONVILLE
State - owner
FL
Zip code - owner
322164252
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
O20081105000315
Associate id
9638238694
Organization name
BROOKS HOME CARE ADVANTAGE, INC.
Associate id - owner
5193755866
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2008-07-01
First name - owner
DOUGLAS
Last name - owner
BAER
Enrollment id
O20081105000315
Associate id
9638238694
Organization name
BROOKS HOME CARE ADVANTAGE, INC.
Associate id - owner
5193755866
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2008-07-01
First name - owner
DOUGLAS
Last name - owner
BAER
Enrollment id
O20081105000315
Associate id
9638238694
Organization name
BROOKS HOME CARE ADVANTAGE, INC.
Associate id - owner
5890215875
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-02-10
First name - owner
JENNIFER
Last name - owner
ALLEN
Title - owner
DIRECTOR OF MANAGED CARE
Enrollment id
O20081105000315
Associate id
9638238694
Organization name
BROOKS HOME CARE ADVANTAGE, INC.
Associate id - owner
5890215875
Type - owner
I
Role code - owner
44
Role text - owner
OTHER
Association date - owner
2025-02-10
First name - owner
JENNIFER
Last name - owner
ALLEN
Title - owner
DIRECTOR OF MANAGED CARE
Enrollment id
O20081105000315
Associate id
9638238694
Organization name
BROOKS HOME CARE ADVANTAGE, INC.
Associate id - owner
7810091683
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-02-28
First name - owner
JAMES
Last name - owner
TABOR
Title - owner
CHIEF FINANCIAL OFFICER
Enrollment id
O20081105000315
Associate id
9638238694
Organization name
BROOKS HOME CARE ADVANTAGE, INC.
Associate id - owner
7810091683
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-02-28
First name - owner
JAMES
Last name - owner
TABOR
Enrollment id
O20150828002401
Associate id
9638238694
Organization name
BROOKS HOME CARE ADVANTAGE, INC.
Associate id - owner
1153646831
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2015-07-31
Organization name - owner
GENESIS HEALTH INC
Address line 1 - owner
3599 UNIVERSITY BLVD. SOUTH
Address line 2 - owner
ATTN: MANAGED CARE
City - owner
JACKSONVILLE
State - owner
FL
Zip code - owner
322164252
Created for acquisition - owner
Y
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
Enrollment id
O20150828002401
Associate id
9638238694
Organization name
BROOKS HOME CARE ADVANTAGE, INC.
Associate id - owner
5193755866
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2008-06-30
First name - owner
DOUGLAS
Last name - owner
BAER
Title - owner
PRESIDENT
Enrollment id
O20150828002401
Associate id
9638238694
Organization name
BROOKS HOME CARE ADVANTAGE, INC.
Associate id - owner
5193755866
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2008-06-30
First name - owner
DOUGLAS
Last name - owner
BAER
Title - owner
PRESIDENT
Enrollment id
O20150828002401
Associate id
9638238694
Organization name
BROOKS HOME CARE ADVANTAGE, INC.
Associate id - owner
5890215875
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-03-01
First name - owner
JENNIFER
Last name - owner
ALLEN
Title - owner
DIRECTOR OF MANAGED CARE
Enrollment id
O20150828002401
Associate id
9638238694
Organization name
BROOKS HOME CARE ADVANTAGE, INC.
Associate id - owner
5890215875
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-03-01
First name - owner
JENNIFER
Last name - owner
ALLEN
Enrollment id
O20150828002401
Associate id
9638238694
Organization name
BROOKS HOME CARE ADVANTAGE, INC.
Associate id - owner
7810091683
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-02-01
First name - owner
JAMES
Last name - owner
TABOR
Title - owner
CHIEF FINANCIAL OFFICER
Enrollment id
O20210618002207
Associate id
9638238694
Organization name
BROOKS HOME CARE ADVANTAGE, INC.
Associate id - owner
1153646831
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2008-06-30
Organization name - owner
GENESIS HEALTH INC
Address line 1 - owner
3599 UNIVERSITY BLVD S
City - owner
JACKSONVILLE
State - owner
FL
Zip code - owner
322164252
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
Y
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
N
Enrollment id
O20210618002207
Associate id
9638238694
Organization name
BROOKS HOME CARE ADVANTAGE, INC.
Associate id - owner
5193755866
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-05-17
First name - owner
DOUGLAS
Last name - owner
BAER
Title - owner
CEO
Percentage ownership
0
Enrollment id
O20210618002207
Associate id
9638238694
Organization name
BROOKS HOME CARE ADVANTAGE, INC.
Associate id - owner
5890215875
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-02-10
First name - owner
JENNIFER
Last name - owner
ALLEN
Title - owner
DIRECTOR OF MANAGED CARE
Enrollment id
O20210618002207
Associate id
9638238694
Organization name
BROOKS HOME CARE ADVANTAGE, INC.
Associate id - owner
5890215875
Type - owner
I
Role code - owner
44
Role text - owner
OTHER
Association date - owner
2025-02-10
First name - owner
JENNIFER
Last name - owner
ALLEN
Title - owner
DIRECTOR OF MANAGED CARE
Enrollment id
O20210618002207
Associate id
9638238694
Organization name
BROOKS HOME CARE ADVANTAGE, INC.
Associate id - owner
7113434903
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-07-18
First name - owner
VANESSA
Last name - owner
MERZ
Title - owner
CREDENTIALING
Percentage ownership
0
Enrollment id
O20210618002207
Associate id
9638238694
Organization name
BROOKS HOME CARE ADVANTAGE, INC.
Associate id - owner
7810091683
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-02-01
First name - owner
JAMES
Last name - owner
TABOR
Title - owner
CFO

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