Public record

CMS Home Health Agency All Owners

Associate id - owner: 5092040220 · 4 matching records

Enrollment id
O20250718002088
Associate id
9436665205
Organization name
LEGACY HOME HEALTH CARE LLC
Associate id - owner
5092040220
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2025-01-01
First name - owner
TERESITA
Last name - owner
BAUTISTA
Percentage ownership
75
Enrollment id
O20250718002088
Associate id
9436665205
Organization name
LEGACY HOME HEALTH CARE LLC
Associate id - owner
5092040220
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-01-01
First name - owner
TERESITA
Last name - owner
BAUTISTA
Percentage ownership
75
Enrollment id
O20250718002088
Associate id
9436665205
Organization name
LEGACY HOME HEALTH CARE LLC
Associate id - owner
5092040220
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-01-01
First name - owner
TERESITA
Last name - owner
BAUTISTA
Title - owner
PRESIDENT
Percentage ownership
75
Enrollment id
O20250718002088
Associate id
9436665205
Organization name
LEGACY HOME HEALTH CARE LLC
Associate id - owner
5092040220
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-01-01
First name - owner
TERESITA
Last name - owner
BAUTISTA
Percentage ownership
75

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