Public record

CMS Home Health Agency All Owners

Associate id - owner: 2365986270 · 4 matching records

Enrollment id
O20201028000149
Associate id
7012327356
Organization name
PROVITAL CARE INC
Associate id - owner
2365986270
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2024-06-10
First name - owner
ARAM
Middle name - owner
A
Last name - owner
KHACHATRYAN
Percentage ownership
100
Enrollment id
O20201028000149
Associate id
7012327356
Organization name
PROVITAL CARE INC
Associate id - owner
2365986270
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-06-10
First name - owner
ARAM
Middle name - owner
A
Last name - owner
KHACHATRYAN
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20201028000149
Associate id
7012327356
Organization name
PROVITAL CARE INC
Associate id - owner
2365986270
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-06-10
First name - owner
ARAM
Middle name - owner
A
Last name - owner
KHACHATRYAN
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20201028000149
Associate id
7012327356
Organization name
PROVITAL CARE INC
Associate id - owner
2365986270
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-06-10
First name - owner
ARAM
Middle name - owner
A
Last name - owner
KHACHATRYAN
Title - owner
AD;AD;CEO
Percentage ownership
100

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