Public record

CMS Home Health Agency All Owners

Associate id - owner: 4082000799 · 3 matching records

Enrollment id
O20080529000163
Associate id
5092885376
Organization name
PROVIDIA HOME CARE LLC
Associate id - owner
4082000799
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-05-16
Organization name - owner
THE CHRISTOPHER MELLEY IRREVOCABLE TRUST DATED OCTOBER 30, 2020
Address line 1 - owner
5292 SUMMERLIN COMMONS WAY
Address line 2 - owner
STE 1102
City - owner
FORT MYERS
State - owner
FL
Zip code - owner
339072163
Percentage ownership
47.95
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
Y
Other type text - owner
TRUST
Enrollment id
O20231204001876
Associate id
8628426525
Organization name
PROVIDIA HOME CARE OF PALM BEACH LLC
Associate id - owner
4082000799
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-06-30
Organization name - owner
THE CHRISTOPHER MELLEY IRREVOCABLE TRUST DATED OCTOBER 30, 2020
Address line 1 - owner
2826 TIBURON BLVD E
Address line 2 - owner
APT 101
City - owner
NAPLES
State - owner
FL
Zip code - owner
341093663
Percentage ownership
47.95
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
Y
Other type text - owner
TRUST
Enrollment id
O20250424003844
Associate id
5092885376
Organization name
PROVIDIA HOME CARE LLC
Associate id - owner
4082000799
Type - owner
O
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2023-05-16
Organization name - owner
THE CHRISTOPHER MELLEY IRREVOCABLE TRUST DATED OCTOBER 30, 2020
Address line 1 - owner
1447 GALLEON DR
City - owner
NAPLES
State - owner
FL
Zip code - owner
341027713
Percentage ownership
47.95
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
Y
Other type text - owner
TRUST

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