Public record

CMS Home Health Agency All Owners

Associate id - owner: 1153717863 · 8 matching records

Enrollment id
O20221012000685
Associate id
1052791738
Organization name
HEALTHY PALACE HOME HEALTH CARE INC
Associate id - owner
1153717863
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2021-03-31
First name - owner
EDVARD
Last name - owner
PETROSYAN
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20221012000685
Associate id
1052791738
Organization name
HEALTHY PALACE HOME HEALTH CARE INC
Associate id - owner
1153717863
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-03-31
First name - owner
EDVARD
Last name - owner
PETROSYAN
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20221012000685
Associate id
1052791738
Organization name
HEALTHY PALACE HOME HEALTH CARE INC
Associate id - owner
1153717863
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-03-31
First name - owner
EDVARD
Last name - owner
PETROSYAN
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20221012000685
Associate id
1052791738
Organization name
HEALTHY PALACE HOME HEALTH CARE INC
Associate id - owner
1153717863
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2021-03-31
First name - owner
EDVARD
Last name - owner
PETROSYAN
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20240723000328
Associate id
8022554476
Organization name
EL PRIMERO HOME HEALTH CARE INC
Associate id - owner
1153717863
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2022-02-23
First name - owner
EDVARD
Last name - owner
PETROSYAN
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20240723000328
Associate id
8022554476
Organization name
EL PRIMERO HOME HEALTH CARE INC
Associate id - owner
1153717863
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-02-23
First name - owner
EDVARD
Last name - owner
PETROSYAN
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20240723000328
Associate id
8022554476
Organization name
EL PRIMERO HOME HEALTH CARE INC
Associate id - owner
1153717863
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-02-23
First name - owner
EDVARD
Last name - owner
PETROSYAN
Enrollment id
O20240723000328
Associate id
8022554476
Organization name
EL PRIMERO HOME HEALTH CARE INC
Associate id - owner
1153717863
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-02-23
First name - owner
EDVARD
Last name - owner
PETROSYAN
Title - owner
CEO
Percentage ownership
100

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