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CMS Hospice All Owners

Associate id: 3173431590 · 50 matching records

Enrollment id
O20040714001168
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
0648594952
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2014-12-05
First name - owner
PATRICK
Middle name - owner
W
Last name - owner
JEFFCOAT
Title - owner
CEO/ PRESIDENT/ TREASURER
Enrollment id
O20040714001168
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
0648594952
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2014-12-05
First name - owner
PATRICK
Middle name - owner
W
Last name - owner
JEFFCOAT
Title - owner
BOARD/CEO/ PRESIDENT/ TREASURER
Enrollment id
O20040714001168
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
0648594952
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2014-12-05
First name - owner
PATRICK
Middle name - owner
W
Last name - owner
JEFFCOAT
Title - owner
CEO/ PRESIDENT/ TREASURER
Enrollment id
O20040714001168
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
1557685864
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2014-12-05
First name - owner
CHRISTINA
Middle name - owner
M
Last name - owner
JEFFCOAT
Title - owner
COO/ EXECUTIVE VP/ SECRETARY
Enrollment id
O20040714001168
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
1557685864
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2014-12-05
First name - owner
CHRISTINA
Middle name - owner
M
Last name - owner
JEFFCOAT
Title - owner
BOARD/COO/ EXECUTIVE VP/ SECRETARY
Enrollment id
O20040714001168
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
1850429903
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2023-04-21
First name - owner
WILLIAM
Middle name - owner
C
Last name - owner
MITCHELL
Title - owner
MD;
Percentage ownership
0
Enrollment id
O20040714001168
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
4587189022
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-07
Organization name - owner
THE YOUNG FAMILY TRUST F/B/O PATRICK WAYNE JEFFCOAT, JR.
Address line 1 - owner
171 MONROE LN
City - owner
LEXINGTON
State - owner
SC
Zip code - owner
290723904
Percentage ownership
100
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
O20040714001168
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
5193633519
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2004-04-01
Organization name - owner
MEDICAL SERVICES OF AMERICA INC
Doing business as name - owner
MEDI HOME CARE
Address line 1 - owner
171 MONROE LN
City - owner
LEXINGTON
State - owner
SC
Zip code - owner
290723904
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
Y
Other type - owner
N
Enrollment id
O20040714001168
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
5193633519
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2004-04-01
Organization name - owner
MEDICAL SERVICES OF AMERICA INC
Doing business as name - owner
MEDI HOME CARE
Address line 1 - owner
171 MONROE LN
City - owner
LEXINGTON
State - owner
SC
Zip code - owner
290723904
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
Y
Other type - owner
N
Enrollment id
O20040714001168
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
7416467444
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-04-19
First name - owner
REBECCA
Last name - owner
RICHARDS
Title - owner
AD;
Enrollment id
O20050620000261
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
0648594952
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2014-12-05
First name - owner
PATRICK
Middle name - owner
W
Last name - owner
JEFFCOAT
Title - owner
CEO/ PRESIDENT/ TREASURER
Enrollment id
O20050620000261
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
0648594952
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2014-12-05
First name - owner
PATRICK
Middle name - owner
W
Last name - owner
JEFFCOAT
Title - owner
BOARD/CEO/ PRESIDENT/ TREASURER
Enrollment id
O20050620000261
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
0648594952
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2014-12-05
First name - owner
PATRICK
Middle name - owner
W
Last name - owner
JEFFCOAT
Title - owner
CEO/ PRESIDENT/ TREASURER
Enrollment id
O20050620000261
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
1557685864
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2014-12-05
First name - owner
CHRISTINA
Middle name - owner
M
Last name - owner
JEFFCOAT
Title - owner
COO/ EXECUTIVE VP/ SECRETARY
Enrollment id
O20050620000261
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
1557685864
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2014-12-05
First name - owner
CHRISTINA
Middle name - owner
M
Last name - owner
JEFFCOAT
Title - owner
BOARD/COO/ EXECUTIVE VP/ SECRETARY
Enrollment id
O20050620000261
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
4587189022
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-07
Organization name - owner
THE YOUNG FAMILY TRUST F/B/O PATRICK WAYNE JEFFCOAT, JR.
Address line 1 - owner
171 MONROE LN
City - owner
LEXINGTON
State - owner
SC
Zip code - owner
290723904
Percentage ownership
100
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
O20050620000261
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
5193633519
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2004-04-01
Organization name - owner
MEDICAL SERVICES OF AMERICA INC
Doing business as name - owner
MEDI HOME CARE
Address line 1 - owner
171 MONROE LN
City - owner
LEXINGTON
State - owner
SC
Zip code - owner
290723904
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
O20050620000261
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
5193633519
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2004-04-01
Organization name - owner
MEDICAL SERVICES OF AMERICA INC
Doing business as name - owner
MEDI HOME CARE
Address line 1 - owner
171 MONROE LN
City - owner
LEXINGTON
State - owner
SC
Zip code - owner
290723904
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
O20050620000261
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
7113341413
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-04-10
First name - owner
MONICA
Last name - owner
BURNS
Title - owner
ADMINISTRATOR
Enrollment id
O20050620000261
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
7719157775
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2023-04-12
First name - owner
JACOB
Middle name - owner
D
Last name - owner
ALMEIDA
Title - owner
MD;
Percentage ownership
0
Enrollment id
O20060630000054
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
0648594952
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2014-12-05
First name - owner
PATRICK
Middle name - owner
W
Last name - owner
JEFFCOAT
Title - owner
CEO/ PRESIDENT/ TREASURER
Enrollment id
O20060630000054
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
0648594952
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2014-12-05
First name - owner
PATRICK
Middle name - owner
W
Last name - owner
JEFFCOAT
Title - owner
BOARD/CEO/ PRESIDENT/ TREASURER
Enrollment id
O20060630000054
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
0648594952
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2014-12-05
First name - owner
PATRICK
Middle name - owner
W
Last name - owner
JEFFCOAT
Title - owner
CEO/ PRESIDENT/ TREASURER
Enrollment id
O20060630000054
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
1557685864
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2014-12-05
First name - owner
CHRISTINA
Middle name - owner
M
Last name - owner
JEFFCOAT
Title - owner
COO/ EXECUTIVE VP/ SECRETARY
Enrollment id
O20060630000054
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
1557685864
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2014-12-05
First name - owner
CHRISTINA
Middle name - owner
M
Last name - owner
JEFFCOAT
Title - owner
BOARD/COO/ EXECUTIVE VP/ SECRETARY
Enrollment id
O20060630000054
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
2668661604
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2023-08-01
First name - owner
KARANITA
Middle name - owner
M
Last name - owner
OJOMO
Title - owner
MD;
Percentage ownership
0
Enrollment id
O20060630000054
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
4587189022
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-07
Organization name - owner
THE YOUNG FAMILY TRUST F/B/O PATRICK WAYNE JEFFCOAT, JR.
Address line 1 - owner
171 MONROE LN
City - owner
LEXINGTON
State - owner
SC
Zip code - owner
290723904
Percentage ownership
100
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
O20060630000054
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
5193633519
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2006-03-01
Organization name - owner
MEDICAL SERVICES OF AMERICA INC
Doing business as name - owner
MEDI HOME CARE
Address line 1 - owner
171 MONROE LN
City - owner
LEXINGTON
State - owner
SC
Zip code - owner
290723904
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
O20060630000054
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
5193633519
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2006-03-01
Organization name - owner
MEDICAL SERVICES OF AMERICA INC
Doing business as name - owner
MEDI HOME CARE
Address line 1 - owner
171 MONROE LN
City - owner
LEXINGTON
State - owner
SC
Zip code - owner
290723904
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
O20060630000054
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
5799049011
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2018-02-03
First name - owner
SHERRY
Last name - owner
COVEY
Title - owner
ADMINISTRATOR
Enrollment id
O20070227000513
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
0648594952
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2014-12-05
First name - owner
PATRICK
Middle name - owner
W
Last name - owner
JEFFCOAT
Title - owner
BOARD/CEO/ PRESIDENT/ TREASURER
Enrollment id
O20070227000513
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
0648594952
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2014-12-05
First name - owner
PATRICK
Middle name - owner
W
Last name - owner
JEFFCOAT
Title - owner
BOARD/CEO/ PRESIDENT/ TREASURER
Enrollment id
O20070227000513
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
0648594952
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2014-12-05
First name - owner
PATRICK
Middle name - owner
W
Last name - owner
JEFFCOAT
Title - owner
BOARD/CEO/ PRESIDENT/ TREASURER
Enrollment id
O20070227000513
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
0941384937
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2023-09-24
First name - owner
BROOKE
Middle name - owner
A
Last name - owner
BOSTIC
Title - owner
MD;
Percentage ownership
0
Enrollment id
O20070227000513
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
1557685864
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2014-12-05
First name - owner
CHRISTINA
Middle name - owner
M
Last name - owner
JEFFCOAT
Title - owner
COO/ EXECUTIVE VP/ SECRETARY
Enrollment id
O20070227000513
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
1557685864
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2014-12-05
First name - owner
CHRISTINA
Middle name - owner
M
Last name - owner
JEFFCOAT
Title - owner
BOARD/COO/EXECUTIVE VP/SECRETARY
Enrollment id
O20070227000513
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
4587189022
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-07
Organization name - owner
THE YOUNG FAMILY TRUST F/B/O PATRICK WAYNE JEFFCOAT, JR.
Address line 1 - owner
171 MONROE LN
City - owner
LEXINGTON
State - owner
SC
Zip code - owner
290723904
Percentage ownership
100
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
O20070227000513
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
5193633519
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2005-05-01
Organization name - owner
MEDICAL SERVICES OF AMERICA INC
Doing business as name - owner
MEDI HOME CARE
Address line 1 - owner
171 MONROE LN
City - owner
LEXINGTON
State - owner
SC
Zip code - owner
290723904
Percentage ownership
100
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
Y
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
O20070227000513
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
5193633519
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2005-05-01
Organization name - owner
MEDICAL SERVICES OF AMERICA INC
Doing business as name - owner
MEDI HOME CARE
Address line 1 - owner
171 MONROE LN
City - owner
LEXINGTON
State - owner
SC
Zip code - owner
290723904
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
Y
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
O20070227000513
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
7012427685
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-04-03
First name - owner
CHASTITY
Last name - owner
TAYLOR
Title - owner
AD;
Enrollment id
O20071018000530
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
0143293019
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2024-02-07
First name - owner
ROBERT
Middle name - owner
H
Last name - owner
PRASSE
Title - owner
MD;
Percentage ownership
0
Enrollment id
O20071018000530
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
0648594952
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2014-12-05
First name - owner
PATRICK
Middle name - owner
W
Last name - owner
JEFFCOAT
Title - owner
CEO/ PRESIDENT/ TREASURER
Enrollment id
O20071018000530
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
0648594952
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2014-12-05
First name - owner
PATRICK
Middle name - owner
W
Last name - owner
JEFFCOAT
Title - owner
BOARD/CEO/ PRESIDENT/ TREASURER
Enrollment id
O20071018000530
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
0648594952
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2014-12-05
First name - owner
PATRICK
Middle name - owner
W
Last name - owner
JEFFCOAT
Title - owner
CEO/ PRESIDENT/ TREASURER
Enrollment id
O20071018000530
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
0749634921
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-09-09
First name - owner
STEPHANIE
Last name - owner
CARSON
Title - owner
ADMINISTRATOR
Enrollment id
O20071018000530
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
1557685864
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2014-12-05
First name - owner
CHRISTINA
Middle name - owner
M
Last name - owner
JEFFCOAT
Title - owner
COO/ EXECUTIVE VP/ SECRETARY
Enrollment id
O20071018000530
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
1557685864
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2014-12-05
First name - owner
CHRISTINA
Middle name - owner
M
Last name - owner
JEFFCOAT
Title - owner
BOARD/COO/ EXECUTIVE VP/ SECRETARY
Enrollment id
O20071018000530
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
4587189022
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-07
Organization name - owner
THE YOUNG FAMILY TRUST F/B/O PATRICK WAYNE JEFFCOAT, JR.
Address line 1 - owner
171 MONROE LN
City - owner
LEXINGTON
State - owner
SC
Zip code - owner
290723904
Percentage ownership
100
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
O20071018000530
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
5193633519
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2007-10-15
Organization name - owner
MEDICAL SERVICES OF AMERICA INC
Doing business as name - owner
MEDI HOME CARE
Address line 1 - owner
171 MONROE LN
City - owner
LEXINGTON
State - owner
SC
Zip code - owner
290723904
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
Y
Other type - owner
N
Enrollment id
O20071018000530
Associate id
3173431590
Organization name
MEDI HOME HEALTH AGENCY, INC.
Associate id - owner
5193633519
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2007-10-15
Organization name - owner
MEDICAL SERVICES OF AMERICA INC
Doing business as name - owner
MEDI HOME CARE
Address line 1 - owner
171 MONROE LN
City - owner
LEXINGTON
State - owner
SC
Zip code - owner
290723904
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
Y
Other type - owner
N

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