Public record

CMS Home Health Agency All Owners

Associate id - owner: 3072665512 · 3 matching records

Enrollment id
O20170413001060
Associate id
5698051241
Organization name
SUNNYSIDE HOME HEALTH
Associate id - owner
3072665512
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2017-01-26
First name - owner
BRIAN
Middle name - owner
P
Last name - owner
GIBBONS
Title - owner
PRESIDENT, CEO
Enrollment id
O20170413001060
Associate id
5698051241
Organization name
SUNNYSIDE HOME HEALTH
Associate id - owner
3072665512
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2017-01-26
First name - owner
BRIAN
Middle name - owner
P
Last name - owner
GIBBONS
Title - owner
PRESIDENT, CEO
Enrollment id
O20170413001060
Associate id
5698051241
Organization name
SUNNYSIDE HOME HEALTH
Associate id - owner
3072665512
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2017-01-26
First name - owner
BRIAN
Middle name - owner
P
Last name - owner
GIBBONS
Title - owner
PRESIDENT, CEO

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