Public record

CMS Home Health Agency All Owners

Associate id - owner: 0042380339 · 6 matching records

Enrollment id
O20080529000163
Associate id
5092885376
Organization name
PROVIDIA HOME CARE LLC
Associate id - owner
0042380339
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-12-31
First name - owner
CHRISTOPHER
Last name - owner
MELLEY
Enrollment id
O20080529000163
Associate id
5092885376
Organization name
PROVIDIA HOME CARE LLC
Associate id - owner
0042380339
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2008-03-17
First name - owner
CHRISTOPHER
Last name - owner
MELLEY
Enrollment id
O20231204001876
Associate id
8628426525
Organization name
PROVIDIA HOME CARE OF PALM BEACH LLC
Associate id - owner
0042380339
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-06-30
First name - owner
CHRISTOPHER
Last name - owner
MELLEY
Enrollment id
O20231204001876
Associate id
8628426525
Organization name
PROVIDIA HOME CARE OF PALM BEACH LLC
Associate id - owner
0042380339
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-06-30
First name - owner
CHRISTOPHER
Last name - owner
MELLEY
Enrollment id
O20250424003844
Associate id
5092885376
Organization name
PROVIDIA HOME CARE LLC
Associate id - owner
0042380339
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-05-16
First name - owner
CHRISTOPHER
Last name - owner
MELLEY
Title - owner
CHIEF EXECUTIVE OFFICER (CEO)
Percentage ownership
50
Enrollment id
O20250424003844
Associate id
5092885376
Organization name
PROVIDIA HOME CARE LLC
Associate id - owner
0042380339
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-05-16
First name - owner
CHRISTOPHER
Last name - owner
MELLEY
Title - owner
CHIEF EXECUTIVE OFFICER (CEO)
Percentage ownership
50

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