Public record

CMS Home Health Agency All Owners

Associate id - owner: 0648582569 · 4 matching records

Enrollment id
O20160309001359
Associate id
0941506422
Organization name
GRAND CANYON HOME HEALTH CARE INC
Associate id - owner
0648582569
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2025-08-27
First name - owner
YAKOV
Last name - owner
YUSHUVAYEV
Percentage ownership
33.4
Enrollment id
O20160309001359
Associate id
0941506422
Organization name
GRAND CANYON HOME HEALTH CARE INC
Associate id - owner
0648582569
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-08-27
First name - owner
YAKOV
Last name - owner
YUSHUVAYEV
Percentage ownership
33.4
Enrollment id
O20160309001359
Associate id
0941506422
Organization name
GRAND CANYON HOME HEALTH CARE INC
Associate id - owner
0648582569
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-08-27
First name - owner
YAKOV
Last name - owner
YUSHUVAYEV
Title - owner
PRESIDENT/OWNER
Percentage ownership
33.4
Enrollment id
O20160309001359
Associate id
0941506422
Organization name
GRAND CANYON HOME HEALTH CARE INC
Associate id - owner
0648582569
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-08-27
First name - owner
YAKOV
Last name - owner
YUSHUVAYEV

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