Public record

CMS Home Health Agency All Owners

Associate id - owner: 4587010723 · 4 matching records

Enrollment id
O20231214002187
Associate id
1456700533
Organization name
BLOOM HOME HEALTH CARE INC
Associate id - owner
4587010723
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2022-05-10
First name - owner
SAM
Last name - owner
JAVANMARD
Title - owner
CEO/CFO/SECRETARY/OWNER
Percentage ownership
100
Enrollment id
O20231214002187
Associate id
1456700533
Organization name
BLOOM HOME HEALTH CARE INC
Associate id - owner
4587010723
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-05-10
First name - owner
SAM
Last name - owner
JAVANMARD
Title - owner
CEO/CFO/SECRETARY/OWNER
Percentage ownership
100
Enrollment id
O20231214002187
Associate id
1456700533
Organization name
BLOOM HOME HEALTH CARE INC
Associate id - owner
4587010723
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-05-10
First name - owner
SAM
Last name - owner
JAVANMARD
Title - owner
CEO/CFO/SECRETARY/OWNER
Percentage ownership
100
Enrollment id
O20231214002187
Associate id
1456700533
Organization name
BLOOM HOME HEALTH CARE INC
Associate id - owner
4587010723
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-05-10
First name - owner
SAM
Last name - owner
JAVANMARD
Title - owner
CEO/CFO/SECRETARY/OWNER
Percentage ownership
100

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