Public record

CMS Home Health Agency All Owners

Associate id - owner: 6507184736 · 15 matching records

Enrollment id
O20041111001071
Associate id
2567426364
Organization name
TREASURE LIFE HEALTHCARE SERVICES INC
Associate id - owner
6507184736
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2019-12-01
First name - owner
PRINCE
Middle name - owner
V
Last name - owner
SAMUEL
Percentage ownership
50
Enrollment id
O20041111001071
Associate id
2567426364
Organization name
TREASURE LIFE HEALTHCARE SERVICES INC
Associate id - owner
6507184736
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2019-12-01
First name - owner
PRINCE
Middle name - owner
V
Last name - owner
SAMUEL
Title - owner
PRESIDENT
Percentage ownership
100
Enrollment id
O20041111001071
Associate id
2567426364
Organization name
TREASURE LIFE HEALTHCARE SERVICES INC
Associate id - owner
6507184736
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2019-12-01
First name - owner
PRINCE
Middle name - owner
V
Last name - owner
SAMUEL
Title - owner
ALTERNATE ADMIN
Enrollment id
O20080826000432
Associate id
0840365870
Organization name
SHILOH FIRST HEALTH CARE, INC.
Associate id - owner
6507184736
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-02-28
First name - owner
PRINCE
Middle name - owner
V
Last name - owner
SAMUEL
Title - owner
AD;
Enrollment id
O20091123000083
Associate id
8729127220
Organization name
STARCREST HEALTHCARE SERVICES, INC
Associate id - owner
6507184736
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2025-08-18
First name - owner
PRINCE
Middle name - owner
V
Last name - owner
SAMUEL
Percentage ownership
100
Enrollment id
O20091123000083
Associate id
8729127220
Organization name
STARCREST HEALTHCARE SERVICES, INC
Associate id - owner
6507184736
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2023-07-31
First name - owner
PRINCE
Middle name - owner
V
Last name - owner
SAMUEL
Title - owner
AUTHORIZED OFFICIAL
Percentage ownership
100
Enrollment id
O20091123000083
Associate id
8729127220
Organization name
STARCREST HEALTHCARE SERVICES, INC
Associate id - owner
6507184736
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2025-08-18
First name - owner
PRINCE
Middle name - owner
V
Last name - owner
SAMUEL
Title - owner
ADMINSTRATOR AND DIRECTOR
Percentage ownership
100
Enrollment id
O20091123000083
Associate id
8729127220
Organization name
STARCREST HEALTHCARE SERVICES, INC
Associate id - owner
6507184736
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2025-01-15
First name - owner
PRINCE
Middle name - owner
V
Last name - owner
SAMUEL
Title - owner
MANAGING DIRECTOR
Enrollment id
O20120208001011
Associate id
5193982726
Organization name
UNICARE HOME HEALTH SERVICES OF TYLER, INC.
Associate id - owner
6507184736
Type - owner
I
Role code - owner
35
Role text - owner
5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date - owner
2021-04-21
First name - owner
PRINCE
Middle name - owner
V
Last name - owner
SAMUEL
Title - owner
ADMINISTRATOR
Percentage ownership
100
Enrollment id
O20120208001011
Associate id
5193982726
Organization name
UNICARE HOME HEALTH SERVICES OF TYLER, INC.
Associate id - owner
6507184736
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2021-04-21
First name - owner
PRINCE
Middle name - owner
V
Last name - owner
SAMUEL
Percentage ownership
100
Enrollment id
O20120208001011
Associate id
5193982726
Organization name
UNICARE HOME HEALTH SERVICES OF TYLER, INC.
Associate id - owner
6507184736
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2021-04-21
First name - owner
PRINCE
Middle name - owner
V
Last name - owner
SAMUEL
Percentage ownership
100
Enrollment id
O20120208001011
Associate id
5193982726
Organization name
UNICARE HOME HEALTH SERVICES OF TYLER, INC.
Associate id - owner
6507184736
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2021-04-21
First name - owner
PRINCE
Middle name - owner
V
Last name - owner
SAMUEL
Percentage ownership
100
Enrollment id
O20120426000650
Associate id
9830351444
Organization name
GOODWIN HOME HEALTHCARE SERVICE INC
Associate id - owner
6507184736
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2024-12-31
First name - owner
PRINCE
Middle name - owner
V
Last name - owner
SAMUEL
Percentage ownership
50
Enrollment id
O20120426000650
Associate id
9830351444
Organization name
GOODWIN HOME HEALTHCARE SERVICE INC
Associate id - owner
6507184736
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2024-12-31
First name - owner
PRINCE
Middle name - owner
V
Last name - owner
SAMUEL
Title - owner
CORPORATE DIRECTOR
Enrollment id
O20120426000650
Associate id
9830351444
Organization name
GOODWIN HOME HEALTHCARE SERVICE INC
Associate id - owner
6507184736
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2024-12-31
First name - owner
PRINCE
Middle name - owner
V
Last name - owner
SAMUEL
Title - owner
AD;

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