Public record

CMS Home Health Agency All Owners

Associate id - owner: 3678897840 · 2 matching records

Enrollment id
O20171006002815
Associate id
4880969468
Organization name
COPPER STATE HOME HEALTH, LLC
Associate id - owner
3678897840
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2015-03-15
First name - owner
MELLISA
Middle name - owner
MARIE
Last name - owner
TAYLOR
Title - owner
DIRECTOR OF NURSING/OWNER
Percentage ownership
50
Enrollment id
O20171006002815
Associate id
4880969468
Organization name
COPPER STATE HOME HEALTH, LLC
Associate id - owner
3678897840
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-11-01
First name - owner
MELLISA
Middle name - owner
MARIE
Last name - owner
TAYLOR
Percentage ownership
50

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