- Enrollment id
- O20210419000274
- Associate id
- 3476961145
- Organization name
- GOLD CROWN HOME HEALTH CARE LLC
- Associate id - owner
- 4183032865
- Type - owner
- I
- Role code - owner
- 34
- Role text - owner
- 5% OR GREATER DIRECT OWNERSHIP INTEREST
- Association date - owner
- 2019-04-12
- First name - owner
- HINDO
- Last name - owner
- HASHI
- Percentage ownership
- 25
- Enrollment id
- O20210419000274
- Associate id
- 3476961145
- Organization name
- GOLD CROWN HOME HEALTH CARE LLC
- Associate id - owner
- 4183032865
- Type - owner
- I
- Role code - owner
- 40
- Role text - owner
- CORPORATE OFFICER
- Association date - owner
- 2019-04-12
- First name - owner
- HINDO
- Last name - owner
- HASHI
- Title - owner
- BOARD MEMBER
- Percentage ownership
- 25
- Enrollment id
- O20210419000274
- Associate id
- 3476961145
- Organization name
- GOLD CROWN HOME HEALTH CARE LLC
- Associate id - owner
- 4183032865
- Type - owner
- I
- Role code - owner
- 41
- Role text - owner
- CORPORATE DIRECTOR
- Association date - owner
- 2019-04-12
- First name - owner
- HINDO
- Last name - owner
- HASHI
- Title - owner
- BOARD MEMBER
- Percentage ownership
- 25
- Enrollment id
- O20210419000274
- Associate id
- 3476961145
- Organization name
- GOLD CROWN HOME HEALTH CARE LLC
- Associate id - owner
- 4183032865
- Type - owner
- I
- Role code - owner
- 43
- Role text - owner
- OPERATIONAL/MANAGERIAL CONTROL
- Association date - owner
- 2019-04-12
- First name - owner
- HINDO
- Last name - owner
- HASHI
- Title - owner
- BOARD MEMBER
- Percentage ownership
- 25