Public record

CMS Home Health Agency All Owners

Associate id - owner: 6507778891 · 4 matching records

Enrollment id
O20150518000045
Associate id
1658691571
Organization name
PROVIDENCE HOME HEALTH & HOSPICE LLC.
Associate id - owner
6507778891
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2014-02-19
First name - owner
CECILIA
Last name - owner
WAMBUGU-DAVIS
Title - owner
CO-OWNER
Percentage ownership
55
Enrollment id
O20150518000045
Associate id
1658691571
Organization name
PROVIDENCE HOME HEALTH & HOSPICE LLC.
Associate id - owner
6507778891
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2014-02-19
First name - owner
CECILIA
Last name - owner
WAMBUGU-DAVIS
Title - owner
PRESIDENT. CEO.ADMINISTRATOR
Enrollment id
O20150518000045
Associate id
1658691571
Organization name
PROVIDENCE HOME HEALTH & HOSPICE LLC.
Associate id - owner
6507778891
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2014-02-19
First name - owner
CECILIA
Last name - owner
WAMBUGU-DAVIS
Title - owner
PRESIDENT, CEO, ADMINISTRATOR
Enrollment id
O20150518000045
Associate id
1658691571
Organization name
PROVIDENCE HOME HEALTH & HOSPICE LLC.
Associate id - owner
6507778891
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2014-02-19
First name - owner
CECILIA
Last name - owner
WAMBUGU-DAVIS
Title - owner
PRESIDENT, CEO, ADMINISTRATOR

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