Public record

CMS Home Health Agency All Owners

Associate id - owner: 3678951761 · 4 matching records

Enrollment id
O20070425000363
Associate id
7113022880
Organization name
HOLLYWOOD HEALTH SERVICES, INC.
Associate id - owner
3678951761
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2022-01-25
First name - owner
BENJEMIN
Last name - owner
HALAVA
Title - owner
CFO
Percentage ownership
30
Enrollment id
O20070425000363
Associate id
7113022880
Organization name
HOLLYWOOD HEALTH SERVICES, INC.
Associate id - owner
3678951761
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-01-25
First name - owner
BENJEMIN
Last name - owner
HALAVA
Title - owner
CFO
Percentage ownership
30
Enrollment id
O20070425000363
Associate id
7113022880
Organization name
HOLLYWOOD HEALTH SERVICES, INC.
Associate id - owner
3678951761
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-01-25
First name - owner
BENJEMIN
Last name - owner
HALAVA
Title - owner
CFO
Percentage ownership
30
Enrollment id
O20070425000363
Associate id
7113022880
Organization name
HOLLYWOOD HEALTH SERVICES, INC.
Associate id - owner
3678951761
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-01-25
First name - owner
BENJEMIN
Last name - owner
HALAVA
Title - owner
CEO
Percentage ownership
40

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