Public record

CMS Home Health Agency All Owners

Associate id - owner: 2062908528 · 4 matching records

Enrollment id
O20230501000767
Associate id
5395113138
Organization name
A & V HOME HEALTH CARE SERVICES
Associate id - owner
2062908528
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2025-12-01
First name - owner
GURGEN
Last name - owner
KOSTANYAN
Percentage ownership
24.5
Enrollment id
O20230501000767
Associate id
5395113138
Organization name
A & V HOME HEALTH CARE SERVICES
Associate id - owner
2062908528
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-12-01
First name - owner
GURGEN
Last name - owner
KOSTANYAN
Title - owner
CFO/SECRETARY/SHAREHOLDER/24% OW
Percentage ownership
24.5
Enrollment id
O20230501000767
Associate id
5395113138
Organization name
A & V HOME HEALTH CARE SERVICES
Associate id - owner
2062908528
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-12-01
First name - owner
GURGEN
Last name - owner
KOSTANYAN
Title - owner
CFO/SECRETARY/SHAREHOLDER/24% OW
Percentage ownership
24.5
Enrollment id
O20230501000767
Associate id
5395113138
Organization name
A & V HOME HEALTH CARE SERVICES
Associate id - owner
2062908528
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-12-01
First name - owner
GURGEN
Last name - owner
KOSTANYAN
Title - owner
CFO/SECRETARY/SHAREHOLDER/24% OW
Percentage ownership
24.5

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