Public record

CMS Home Health Agency All Owners

Associate id - owner: 6204024938 · 4 matching records

Enrollment id
O20120824000453
Associate id
1456508571
Organization name
LIGHTHOUSE HOME HEALTH CARE, INC.
Associate id - owner
6204024938
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2012-04-16
First name - owner
NAZARET
Last name - owner
VARDANYAN
Title - owner
OWNER
Percentage ownership
50
Enrollment id
O20120824000453
Associate id
1456508571
Organization name
LIGHTHOUSE HOME HEALTH CARE, INC.
Associate id - owner
6204024938
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2012-04-17
First name - owner
NAZARET
Last name - owner
VARDANYAN
Title - owner
VICE PRESIDENT
Percentage ownership
50
Enrollment id
O20120824000453
Associate id
1456508571
Organization name
LIGHTHOUSE HOME HEALTH CARE, INC.
Associate id - owner
6204024938
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2012-04-17
First name - owner
NAZARET
Last name - owner
VARDANYAN
Title - owner
BOARD MEMBER
Percentage ownership
50
Enrollment id
O20120824000453
Associate id
1456508571
Organization name
LIGHTHOUSE HOME HEALTH CARE, INC.
Associate id - owner
6204024938
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2012-04-17
First name - owner
NAZARET
Last name - owner
VARDANYAN
Title - owner
ADMINISTRATOR DESIGNEE
Percentage ownership
50

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