Public record

CMS Home Health Agency All Owners

Associate id - owner: 5496075244 · 4 matching records

Enrollment id: O20080407000727
Associate id: 4284711805
Organization name: LEVEL HOME HEALTH INC.
Associate id - owner: 5496075244
Type - owner: I
Role code - owner: 34
Role text - owner: 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner: 2016-05-01
First name - owner: KELLY
Middle name - owner: E.
Last name - owner: DECKELMAN
Title - owner: OWNER
Percentage ownership: 50

Enrollment id: O20080407000727
Associate id: 4284711805
Organization name: LEVEL HOME HEALTH INC.
Associate id - owner: 5496075244
Type - owner: I
Role code - owner: 40
Role text - owner: CORPORATE OFFICER
Association date - owner: 2016-05-01
First name - owner: KELLY
Middle name - owner: E.
Last name - owner: DECKELMAN
Title - owner: CEO/CFO
Percentage ownership: 50

Enrollment id: O20080407000727
Associate id: 4284711805
Organization name: LEVEL HOME HEALTH INC.
Associate id - owner: 5496075244
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2016-05-01
First name - owner: KELLY
Middle name - owner: E.
Last name - owner: DECKELMAN
Title - owner: CEO/CFO
Percentage ownership: 50

Enrollment id: O20080407000727
Associate id: 4284711805
Organization name: LEVEL HOME HEALTH INC.
Associate id - owner: 5496075244
Type - owner: I
Role code - owner: 43
Role text - owner: OPERATIONAL/MANAGERIAL CONTROL
Association date - owner: 2016-05-01
First name - owner: KELLY
Middle name - owner: E.
Last name - owner: DECKELMAN
Title - owner: CEO/CFO
Percentage ownership: 50

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