Public record

CMS Home Health Agency All Owners

Associate id - owner: 4981010774 · 5 matching records

Enrollment id
O20221111001432
Associate id
4981071495
Organization name
BLUE PACIFIC HOME HEALTH
Associate id - owner
4981010774
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-10-15
First name - owner
ANGELITO
Last name - owner
REYES
Title - owner
DPCS/ADMINSTRATOR
Enrollment id
O20241015002845
Associate id
6002348075
Organization name
ARK HOME HEALTH INC
Associate id - owner
4981010774
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2024-09-10
First name - owner
ANGELITO
Last name - owner
REYES
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20241015002845
Associate id
6002348075
Organization name
ARK HOME HEALTH INC
Associate id - owner
4981010774
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2024-09-10
First name - owner
ANGELITO
Last name - owner
REYES
Title - owner
CEO/CFO/SEC/DPCS/ADMIN/OWNER
Percentage ownership
100
Enrollment id
O20241015002845
Associate id
6002348075
Organization name
ARK HOME HEALTH INC
Associate id - owner
4981010774
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-09-10
First name - owner
ANGELITO
Last name - owner
REYES
Title - owner
CEO/CFO/SEC/DPCS/ADMIN/OWNER
Percentage ownership
100
Enrollment id
O20241015002845
Associate id
6002348075
Organization name
ARK HOME HEALTH INC
Associate id - owner
4981010774
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-09-10
First name - owner
ANGELITO
Last name - owner
REYES
Title - owner
DPCS/ADMIN/OWNER
Percentage ownership
100

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