Public record

CMS Home Health Agency All Owners

Associate id - owner: 1355672775 · 3 matching records

Enrollment id
O20100615000153
Associate id
1456481621
Organization name
X-TRA HEALTHCARE SERVICES, INC
Associate id - owner
1355672775
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2019-01-01
First name - owner
GWENDOLYNE
Last name - owner
SERIKI
Title - owner
ADMINISTATOR
Percentage ownership
100
Enrollment id
O20100615000153
Associate id
1456481621
Organization name
X-TRA HEALTHCARE SERVICES, INC
Associate id - owner
1355672775
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-01-01
First name - owner
GWENDOLYNE
Last name - owner
SERIKI
Title - owner
PRESIDENT
Percentage ownership
100
Enrollment id
O20100615000153
Associate id
1456481621
Organization name
X-TRA HEALTHCARE SERVICES, INC
Associate id - owner
1355672775
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2019-01-01
First name - owner
GWENDOLYNE
Last name - owner
SERIKI
Title - owner
PRESIDENT
Percentage ownership
100

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