Public record

CMS Home Health Agency All Owners

Associate id - owner: 4183150642 · 4 matching records

Enrollment id
O20201012002564
Associate id
2466872528
Organization name
SOUTHLAND HOME HEALTH INC
Associate id - owner
4183150642
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2024-09-07
First name - owner
RAFAYEL
Last name - owner
HARTENYAN
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20201012002564
Associate id
2466872528
Organization name
SOUTHLAND HOME HEALTH INC
Associate id - owner
4183150642
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-09-07
First name - owner
RAFAYEL
Last name - owner
HARTENYAN
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20201012002564
Associate id
2466872528
Organization name
SOUTHLAND HOME HEALTH INC
Associate id - owner
4183150642
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-09-07
First name - owner
RAFAYEL
Last name - owner
HARTENYAN
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20201012002564
Associate id
2466872528
Organization name
SOUTHLAND HOME HEALTH INC
Associate id - owner
4183150642
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-09-07
First name - owner
RAFAYEL
Last name - owner
HARTENYAN
Title - owner
CEO
Percentage ownership
100

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