Public record

CMS Home Health Agency All Owners

Associate id - owner: 5890223143 · 3 matching records

Enrollment id
O20100429000842
Associate id
9133256753
Organization name
HOME CARE VILLAGE, LLC
Associate id - owner
5890223143
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
SIYAD
Last name - owner
JELLE
Title - owner
OWNER
Percentage ownership
100
Enrollment id
O20100429000842
Associate id
9133256753
Organization name
HOME CARE VILLAGE, LLC
Associate id - owner
5890223143
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-01-01
First name - owner
SIYAD
Last name - owner
JELLE
Title - owner
AD;
Enrollment id
O20100429000842
Associate id
9133256753
Organization name
HOME CARE VILLAGE, LLC
Associate id - owner
5890223143
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2025-01-01
First name - owner
SIYAD
Last name - owner
JELLE

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