Public record

CMS Home Health Agency All Owners

Associate id - owner: 7810364288 · 3 matching records

Enrollment id
O20230224000466
Associate id
0749653699
Organization name
PROCARE HOME HEALTH LLC
Associate id - owner
7810364288
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2022-02-09
First name - owner
TADESSE
Last name - owner
KEBEDE
Title - owner
PRESIDENT/ADMINISTRATOR
Percentage ownership
100
Enrollment id
O20230224000466
Associate id
0749653699
Organization name
PROCARE HOME HEALTH LLC
Associate id - owner
7810364288
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2022-02-09
First name - owner
TADESSE
Last name - owner
KEBEDE
Title - owner
PRESIDENT/ADMINISTRATOR
Percentage ownership
100
Enrollment id
O20230224000466
Associate id
0749653699
Organization name
PROCARE HOME HEALTH LLC
Associate id - owner
7810364288
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2022-02-09
First name - owner
TADESSE
Last name - owner
KEBEDE
Title - owner
PRESIDENT/ADMINISTRATOR
Percentage ownership
100

This record is displayed as returned by the government data source. Open the raw file · About this dataset · Full source list