Public record

CMS Home Health Agency All Owners

Associate id - owner: 6507266640 · 7 matching records

Enrollment id
O20210721002186
Associate id
3971906470
Organization name
BLC HOMEHEALTH INC
Associate id - owner
6507266640
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2020-07-15
First name - owner
ANDREA
Middle name - owner
D
Last name - owner
MERCADO
Title - owner
MANAGERIAL
Percentage ownership
50
Enrollment id
O20210721002186
Associate id
3971906470
Organization name
BLC HOMEHEALTH INC
Associate id - owner
6507266640
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2020-07-15
First name - owner
ANDREA
Middle name - owner
D
Last name - owner
MERCADO
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20210721002186
Associate id
3971906470
Organization name
BLC HOMEHEALTH INC
Associate id - owner
6507266640
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-07-15
First name - owner
ANDREA
Middle name - owner
D
Last name - owner
MERCADO
Title - owner
CEO
Percentage ownership
100
Enrollment id
O20240213001838
Associate id
6204294457
Organization name
A1 PRO HOME HEALTH INC.
Associate id - owner
6507266640
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2022-08-08
First name - owner
ANDREA
Middle name - owner
D
Last name - owner
MERCADO
Percentage ownership
50
Enrollment id
O20240213001838
Associate id
6204294457
Organization name
A1 PRO HOME HEALTH INC.
Associate id - owner
6507266640
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2022-08-08
First name - owner
ANDREA
Middle name - owner
D
Last name - owner
MERCADO
Title - owner
CEO/PRESIDENT/GOVERNING BODY MEM
Percentage ownership
50
Enrollment id
O20240213001838
Associate id
6204294457
Organization name
A1 PRO HOME HEALTH INC.
Associate id - owner
6507266640
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-08-08
First name - owner
ANDREA
Middle name - owner
D
Last name - owner
MERCADO
Title - owner
CEO/PRESIDENT
Percentage ownership
50
Enrollment id
O20240213001838
Associate id
6204294457
Organization name
A1 PRO HOME HEALTH INC.
Associate id - owner
6507266640
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-08-08
First name - owner
ANDREA
Middle name - owner
D
Last name - owner
MERCADO
Title - owner
CEO/PRESIDENT/GOVERNING BODY MEM
Percentage ownership
50

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