Public record

CMS Home Health Agency All Owners

Associate id - owner: 7911306683 · 4 matching records

Enrollment id: O20210528001961
Associate id: 0749689412
Organization name: FORTUNE HEALTH CARE SERVICES INC
Associate id - owner: 7911306683
Type - owner: I
Role code - owner: 34
Role text - owner: 5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner: 2021-03-15
First name - owner: ROLAND
Last name - owner: DAVTYAN
Title - owner: CEO
Percentage ownership: 100

Enrollment id: O20210528001961
Associate id: 0749689412
Organization name: FORTUNE HEALTH CARE SERVICES INC
Associate id - owner: 7911306683
Type - owner: I
Role code - owner: 40
Role text - owner: CORPORATE OFFICER
Association date - owner: 2021-03-15
First name - owner: ROLAND
Last name - owner: DAVTYAN
Title - owner: CEO
Percentage ownership: 100

Enrollment id: O20210528001961
Associate id: 0749689412
Organization name: FORTUNE HEALTH CARE SERVICES INC
Associate id - owner: 7911306683
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2021-03-15
First name - owner: ROLAND
Last name - owner: DAVTYAN
Title - owner: OWNER
Percentage ownership: 100

Enrollment id: O20210528001961
Associate id: 0749689412
Organization name: FORTUNE HEALTH CARE SERVICES INC
Associate id - owner: 7911306683
Type - owner: I
Role code - owner: 42
Role text - owner: W-2 MANAGING EMPLOYEE
Association date - owner: 2021-03-15
First name - owner: ROLAND
Last name - owner: DAVTYAN
Title - owner: OWNER
Percentage ownership: 100

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