Public record

CMS Home Health Agency All Owners

Associate id - owner: 1052710290 · 3 matching records

Enrollment id
O20210520001924
Associate id
2062811201
Organization name
CUSTOMIZED HOME HEALTH CARE LLC
Associate id - owner
1052710290
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2020-12-25
First name - owner
HASSAN
Last name - owner
ARTAN
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20210520001924
Associate id
2062811201
Organization name
CUSTOMIZED HOME HEALTH CARE LLC
Associate id - owner
1052710290
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-12-25
First name - owner
HASSAN
Last name - owner
ARTAN
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20210520001924
Associate id
2062811201
Organization name
CUSTOMIZED HOME HEALTH CARE LLC
Associate id - owner
1052710290
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-12-25
First name - owner
HASSAN
Last name - owner
ARTAN
Title - owner
CEO
Percentage ownership
100

This record is displayed as returned by the government data source. Open the raw file · About this dataset · Full source list