Public record

CMS Home Health Agency All Owners

Associate id - owner: 6002235785 · 4 matching records

Enrollment id
O20200929003155
Associate id
3779902440
Organization name
PERENNIAL HOME HEALTH SERVICES INC
Associate id - owner
6002235785
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2020-05-13
First name - owner
BRITTANY
Middle name - owner
M
Last name - owner
CLARK
Percentage ownership
25
Enrollment id
O20200929003155
Associate id
3779902440
Organization name
PERENNIAL HOME HEALTH SERVICES INC
Associate id - owner
6002235785
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-05-13
First name - owner
BRITTANY
Middle name - owner
M
Last name - owner
CLARK
Title - owner
CEO/PRESIDENT/ADMINISTRATOR DESI
Enrollment id
O20200929003155
Associate id
3779902440
Organization name
PERENNIAL HOME HEALTH SERVICES INC
Associate id - owner
6002235785
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-05-13
First name - owner
BRITTANY
Middle name - owner
M
Last name - owner
CLARK
Title - owner
CEO/PRESIDENT/ADMINISTRATOR DESI
Enrollment id
O20200929003155
Associate id
3779902440
Organization name
PERENNIAL HOME HEALTH SERVICES INC
Associate id - owner
6002235785
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-05-13
First name - owner
BRITTANY
Middle name - owner
M
Last name - owner
CLARK
Title - owner
ADMINISTRATOR DESI

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