Public record

CMS Home Health Agency All Owners

Associate id - owner: 1355411257 · 4 matching records

Enrollment id
O20190812000018
Associate id
5294062485
Organization name
PROVIDA HOME HEALTH, INC.
Associate id - owner
1355411257
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2017-12-19
First name - owner
MERY
Last name - owner
BALAYAN
Title - owner
CEO/CFO/SECRETARY/BOARD MEMBER
Percentage ownership
100
Enrollment id
O20190812000018
Associate id
5294062485
Organization name
PROVIDA HOME HEALTH, INC.
Associate id - owner
1355411257
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2017-12-19
First name - owner
MERY
Last name - owner
BALAYAN
Title - owner
CEO/CFO/SECRETARY/BOARD MEMBER
Percentage ownership
100
Enrollment id
O20190812000018
Associate id
5294062485
Organization name
PROVIDA HOME HEALTH, INC.
Associate id - owner
1355411257
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-12-19
First name - owner
MERY
Last name - owner
BALAYAN
Title - owner
CEO/CFO/SECRETARY/BOARD MEMBER
Percentage ownership
100
Enrollment id
O20190812000018
Associate id
5294062485
Organization name
PROVIDA HOME HEALTH, INC.
Associate id - owner
1355411257
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2017-12-19
First name - owner
MERY
Last name - owner
BALAYAN
Title - owner
CEO/CFO/SECRETARY/BOARD MEMBER
Percentage ownership
100

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