Public record

CMS Home Health Agency All Owners

Associate id - owner: 3870823883 · 3 matching records

Enrollment id
O20200203002009
Associate id
4587090972
Organization name
BEACON SKILLED CARE LLC
Associate id - owner
3870823883
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2022-08-04
First name - owner
GURGEN
Last name - owner
KRYLOV
Percentage ownership
100
Enrollment id
O20200203002009
Associate id
4587090972
Organization name
BEACON SKILLED CARE LLC
Associate id - owner
3870823883
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-08-04
First name - owner
GURGEN
Last name - owner
KRYLOV
Percentage ownership
100
Enrollment id
O20200203002009
Associate id
4587090972
Organization name
BEACON SKILLED CARE LLC
Associate id - owner
3870823883
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-08-04
First name - owner
GURGEN
Last name - owner
KRYLOV
Percentage ownership
100

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