Public record

CMS Home Health Agency All Owners

Associate id - owner: 3476876392 · 5 matching records

Enrollment id
O20180219001722
Associate id
7214298058
Organization name
COASTLINE HOME HEALTHCARE INC
Associate id - owner
3476876392
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2017-01-13
First name - owner
MICHAEL
Last name - owner
PORTNOY
Title - owner
OWNER
Percentage ownership
50
Enrollment id
O20180219001722
Associate id
7214298058
Organization name
COASTLINE HOME HEALTHCARE INC
Associate id - owner
3476876392
Type - owner
I
Role code - owner
38
Role text - owner
GENERAL PARTNERSHIP INTEREST
Association date - owner
2017-01-13
First name - owner
MICHAEL
Last name - owner
PORTNOY
Title - owner
CFO
Percentage ownership
50
Enrollment id
O20180219001722
Associate id
7214298058
Organization name
COASTLINE HOME HEALTHCARE INC
Associate id - owner
3476876392
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2017-01-13
First name - owner
MICHAEL
Last name - owner
PORTNOY
Title - owner
CFO
Percentage ownership
50
Enrollment id
O20180219001722
Associate id
7214298058
Organization name
COASTLINE HOME HEALTHCARE INC
Associate id - owner
3476876392
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2017-01-13
First name - owner
MICHAEL
Last name - owner
PORTNOY
Title - owner
CFO/DSPC/ADMINISTRATOR
Percentage ownership
100
Enrollment id
O20180219001722
Associate id
7214298058
Organization name
COASTLINE HOME HEALTHCARE INC
Associate id - owner
3476876392
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2017-01-13
First name - owner
MICHAEL
Last name - owner
PORTNOY
Title - owner
CFO
Percentage ownership
100

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