Public record

CMS Home Health Agency All Owners

Associate id - owner: 2567604648 · 4 matching records

Enrollment id
O20130820000806
Associate id
6406098581
Organization name
VAN DYCK HOME CARE ENTERPRISES LLC
Associate id - owner
2567604648
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2013-06-01
First name - owner
ELIZABETH
Middle name - owner
A
Last name - owner
VAN DYCK
Percentage ownership
100
Enrollment id
O20130820000806
Associate id
6406098581
Organization name
VAN DYCK HOME CARE ENTERPRISES LLC
Associate id - owner
2567604648
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2013-06-01
First name - owner
ELIZABETH
Middle name - owner
A
Last name - owner
VAN DYCK
Title - owner
ADMINISTRATOR
Enrollment id
O20130820000806
Associate id
6406098581
Organization name
VAN DYCK HOME CARE ENTERPRISES LLC
Associate id - owner
2567604648
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2012-11-12
First name - owner
ELIZABETH
Middle name - owner
A
Last name - owner
VAN DYCK
Title - owner
ADMINISTRATOR
Percentage ownership
100
Enrollment id
O20130820000806
Associate id
6406098581
Organization name
VAN DYCK HOME CARE ENTERPRISES LLC
Associate id - owner
2567604648
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2012-11-12
First name - owner
ELIZABETH
Middle name - owner
A
Last name - owner
VAN DYCK
Title - owner
ADMINISTRATOR
Percentage ownership
100

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