Public record

CMS Home Health Agency All Owners

Associate id - owner: 6406368976 · 4 matching records

Enrollment id
O20230330000089
Associate id
9436523685
Organization name
SAFE HAVEN HOME HEALTH
Associate id - owner
6406368976
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2025-03-15
First name - owner
GOHAR
Last name - owner
PAMBUKYAN
Title - owner
PRESIDENT
Percentage ownership
49
Enrollment id
O20230330000089
Associate id
9436523685
Organization name
SAFE HAVEN HOME HEALTH
Associate id - owner
6406368976
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2025-03-15
First name - owner
GOHAR
Last name - owner
PAMBUKYAN
Title - owner
CEO
Percentage ownership
49
Enrollment id
O20230330000089
Associate id
9436523685
Organization name
SAFE HAVEN HOME HEALTH
Associate id - owner
6406368976
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-03-15
First name - owner
GOHAR
Last name - owner
PAMBUKYAN
Title - owner
CEO
Percentage ownership
49
Enrollment id
O20230330000089
Associate id
9436523685
Organization name
SAFE HAVEN HOME HEALTH
Associate id - owner
6406368976
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-03-15
First name - owner
GOHAR
Last name - owner
PAMBUKYAN
Percentage ownership
49

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