Public record

CMS Home Health Agency All Owners

Associate id - owner: 3173435054 · 12 matching records

Enrollment id
O20050727000621
Associate id
7315975893
Organization name
D J MONTGOMERY ENTERPRISE, LLC
Associate id - owner
3173435054
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2005-01-20
First name - owner
PATRICIA
Last name - owner
HENDERSON
Enrollment id
O20050727000621
Associate id
7315975893
Organization name
D J MONTGOMERY ENTERPRISE, LLC
Associate id - owner
3173435054
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2005-07-29
First name - owner
PATRICIA
Last name - owner
HENDERSON
Enrollment id
O20080620000070
Associate id
2860563749
Organization name
PHCS I INC
Associate id - owner
3173435054
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2008-05-21
First name - owner
PATRICIA
Last name - owner
HENDERSON
Title - owner
PRESIDENT
Percentage ownership
50
Enrollment id
O20080620000070
Associate id
2860563749
Organization name
PHCS I INC
Associate id - owner
3173435054
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2008-05-21
First name - owner
PATRICIA
Last name - owner
HENDERSON
Title - owner
PRESIDENT
Percentage ownership
50
Enrollment id
O20080828000493
Associate id
2466528369
Organization name
PHCS II INC
Associate id - owner
3173435054
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2007-09-17
First name - owner
PATRICIA
Last name - owner
HENDERSON
Percentage ownership
50
Enrollment id
O20080828000493
Associate id
2466528369
Organization name
PHCS II INC
Associate id - owner
3173435054
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2007-05-24
First name - owner
PATRICIA
Last name - owner
HENDERSON
Title - owner
CEO
Enrollment id
O20080828000493
Associate id
2466528369
Organization name
PHCS II INC
Associate id - owner
3173435054
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2007-09-17
First name - owner
PATRICIA
Last name - owner
HENDERSON
Enrollment id
O20080828000493
Associate id
2466528369
Organization name
PHCS II INC
Associate id - owner
3173435054
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2007-09-17
First name - owner
PATRICIA
Last name - owner
HENDERSON
Title - owner
ALTERNATE ADMIN
Enrollment id
O20090805000351
Associate id
2567515711
Organization name
PHCS IV, INC.
Associate id - owner
3173435054
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2008-06-01
First name - owner
PATRICIA
Last name - owner
HENDERSON
Title - owner
OWNER
Percentage ownership
50
Enrollment id
O20090805000351
Associate id
2567515711
Organization name
PHCS IV, INC.
Associate id - owner
3173435054
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2008-06-01
First name - owner
PATRICIA
Last name - owner
HENDERSON
Title - owner
CEO
Percentage ownership
50
Enrollment id
O20090805000351
Associate id
2567515711
Organization name
PHCS IV, INC.
Associate id - owner
3173435054
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2008-06-01
First name - owner
PATRICIA
Last name - owner
HENDERSON
Title - owner
PRESIDENT
Percentage ownership
50
Enrollment id
O20090805000351
Associate id
2567515711
Organization name
PHCS IV, INC.
Associate id - owner
3173435054
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2008-06-01
First name - owner
PATRICIA
Last name - owner
HENDERSON
Title - owner
ADMINISTRATOR
Percentage ownership
50

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