Public record

CMS Home Health Agency All Owners

Associate id - owner: 2264856665 · 5 matching records

Enrollment id
O20200717000909
Associate id
7214351683
Organization name
LIFESTAR HOME HEALTH INC
Associate id - owner
2264856665
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2018-10-18
First name - owner
FEODOR
Last name - owner
BOEV
Percentage ownership
100
Enrollment id
O20200717000909
Associate id
7214351683
Organization name
LIFESTAR HOME HEALTH INC
Associate id - owner
2264856665
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2018-10-18
First name - owner
FEODOR
Last name - owner
BOEV
Title - owner
CEO, CHAIRMAN OF BOARD
Percentage ownership
100
Enrollment id
O20200717000909
Associate id
7214351683
Organization name
LIFESTAR HOME HEALTH INC
Associate id - owner
2264856665
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-10-18
First name - owner
FEODOR
Last name - owner
BOEV
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20200717000909
Associate id
7214351683
Organization name
LIFESTAR HOME HEALTH INC
Associate id - owner
2264856665
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2018-10-18
First name - owner
FEODOR
Last name - owner
BOEV
Percentage ownership
100
Enrollment id
O20200717000909
Associate id
7214351683
Organization name
LIFESTAR HOME HEALTH INC
Associate id - owner
2264856665
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2018-10-18
First name - owner
FEODOR
Last name - owner
BOEV
Percentage ownership
100

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