Public record

CMS Home Health Agency All Owners

Associate id - owner: 1759612294 · 5 matching records

Enrollment id
O20200826001510
Associate id
6608293394
Organization name
SOCAL INTEGRATED CARE INC
Associate id - owner
1759612294
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2022-10-21
First name - owner
MADONNAH
Middle name - owner
G
Last name - owner
SERA
Percentage ownership
14
Enrollment id
O20200826001510
Associate id
6608293394
Organization name
SOCAL INTEGRATED CARE INC
Associate id - owner
1759612294
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-10-21
First name - owner
MADONNAH
Middle name - owner
G
Last name - owner
SERA
Title - owner
ADMINISTRATOR AND DIRECTOR OF PA
Percentage ownership
14
Enrollment id
O20200826001510
Associate id
6608293394
Organization name
SOCAL INTEGRATED CARE INC
Associate id - owner
1759612294
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-10-21
First name - owner
MADONNAH
Middle name - owner
G
Last name - owner
SERA
Title - owner
ADMINISTRATOR AND DIRECTOR OF PA
Percentage ownership
14
Enrollment id
O20200826001510
Associate id
6608293394
Organization name
SOCAL INTEGRATED CARE INC
Associate id - owner
1759612294
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-10-21
First name - owner
MADONNAH
Middle name - owner
G
Last name - owner
SERA
Title - owner
ADMINISTRATOR AND DIRECTOR OF PA
Percentage ownership
14
Enrollment id
O20201228000105
Associate id
2365854940
Organization name
COMPASSION HOME HEALTH CARE INC
Associate id - owner
1759612294
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-02-01
First name - owner
MADONNAH
Middle name - owner
G
Last name - owner
SERA
Title - owner
DIRECTOR OF PATIENT SERVICES
Percentage ownership
0

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