Public record

CMS Home Health Agency All Owners

Associate id - owner: 7012300932 · 2 matching records

Enrollment id
O20160321002200
Associate id
5395042246
Organization name
PROFESSIONAL HEALTHCARE GROUP INC
Associate id - owner
7012300932
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2021-10-01
First name - owner
MARY ANN
Middle name - owner
M
Last name - owner
ALFONSO
Title - owner
BOARD MEMBER
Percentage ownership
16.67
Enrollment id
O20160321002200
Associate id
5395042246
Organization name
PROFESSIONAL HEALTHCARE GROUP INC
Associate id - owner
7012300932
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2021-10-01
First name - owner
MARY ANN
Middle name - owner
M
Last name - owner
ALFONSO
Percentage ownership
16.67

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