- Enrollment id
- O20071211000257
- Associate id
- 6103915343
- Organization name
- ASSURED CARE HEALTH SERVICES L.L.C
- Associate id - owner
- 8022423128
- Type - owner
- I
- Role code - owner
- 34
- Role text - owner
- 5% OR GREATER DIRECT OWNERSHIP INTEREST
- Association date - owner
- 2017-11-09
- First name - owner
- EDDIE
- Last name - owner
- SERRANO
- Percentage ownership
- 49
- Enrollment id
- O20071211000257
- Associate id
- 6103915343
- Organization name
- ASSURED CARE HEALTH SERVICES L.L.C
- Associate id - owner
- 8022423128
- Type - owner
- I
- Role code - owner
- 38
- Role text - owner
- GENERAL PARTNERSHIP INTEREST
- Association date - owner
- 2017-11-09
- First name - owner
- EDDIE
- Last name - owner
- SERRANO
- Percentage ownership
- 49
- Enrollment id
- O20071211000257
- Associate id
- 6103915343
- Organization name
- ASSURED CARE HEALTH SERVICES L.L.C
- Associate id - owner
- 8022423128
- Type - owner
- I
- Role code - owner
- 42
- Role text - owner
- W-2 MANAGING EMPLOYEE
- Association date - owner
- 2017-11-09
- First name - owner
- EDDIE
- Last name - owner
- SERRANO
- Title - owner
- ALTERNATE DIRECTOR OF NURSING
- Percentage ownership
- 49
- Enrollment id
- O20071211000257
- Associate id
- 6103915343
- Organization name
- ASSURED CARE HEALTH SERVICES L.L.C
- Associate id - owner
- 8022423128
- Type - owner
- I
- Role code - owner
- 43
- Role text - owner
- OPERATIONAL/MANAGERIAL CONTROL
- Association date - owner
- 2017-11-09
- First name - owner
- EDDIE
- Last name - owner
- SERRANO
- Title - owner
- ALTERNATE SUPERVISING NURSE
- Percentage ownership
- 49