Public record

CMS Home Health Agency All Owners

Associate id - owner: 0749559003 · 3 matching records

Enrollment id
O20180622002343
Associate id
2062767577
Organization name
BLUE SKY HOME HEALTHCARE SERVICES LLC
Associate id - owner
0749559003
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2016-11-14
First name - owner
KASSIM
Last name - owner
HASSAN
Title - owner
100
Enrollment id
O20180622002343
Associate id
2062767577
Organization name
BLUE SKY HOME HEALTHCARE SERVICES LLC
Associate id - owner
0749559003
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-11-14
First name - owner
KASSIM
Last name - owner
HASSAN
Percentage ownership
100
Enrollment id
O20180622002343
Associate id
2062767577
Organization name
BLUE SKY HOME HEALTHCARE SERVICES LLC
Associate id - owner
0749559003
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2016-11-14
First name - owner
KASSIM
Last name - owner
HASSAN
Title - owner
100

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