Public record

CMS Home Health Agency All Owners

Associate id - owner: 0446161012 · 5 matching records

Enrollment id
O20030807000024
Associate id
6800707472
Organization name
EVERGREEN HOME HEALTH, INC.
Associate id - owner
0446161012
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2002-02-20
First name - owner
LYDIA
Middle name - owner
Y
Last name - owner
AHN
Percentage ownership
100
Enrollment id
O20030807000024
Associate id
6800707472
Organization name
EVERGREEN HOME HEALTH, INC.
Associate id - owner
0446161012
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2002-02-20
First name - owner
LYDIA
Middle name - owner
Y
Last name - owner
AHN
Title - owner
CEO, SECRETARY, BOARD MEMBER
Percentage ownership
98
Enrollment id
O20030807000024
Associate id
6800707472
Organization name
EVERGREEN HOME HEALTH, INC.
Associate id - owner
0446161012
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2002-02-20
First name - owner
LYDIA
Middle name - owner
Y
Last name - owner
AHN
Title - owner
CEO, SECRETARY, BOARD MEMBER
Percentage ownership
98
Enrollment id
O20030807000024
Associate id
6800707472
Organization name
EVERGREEN HOME HEALTH, INC.
Associate id - owner
0446161012
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2002-02-20
First name - owner
LYDIA
Middle name - owner
Y
Last name - owner
AHN
Title - owner
CEO, SECRETARY, BOARD MEMBER, AD
Percentage ownership
96
Enrollment id
O20030807000024
Associate id
6800707472
Organization name
EVERGREEN HOME HEALTH, INC.
Associate id - owner
0446161012
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2002-02-20
First name - owner
LYDIA
Middle name - owner
Y
Last name - owner
AHN
Title - owner
CEO, SECRETARY, BOARD MEMBER, AD
Percentage ownership
98

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