Public record

CMS Home Health Agency All Owners

Associate id - owner: 9032369095 · 3 matching records

Enrollment id
O20040401001365
Associate id
1456343086
Organization name
HERNANDO-PASCO HOSPICE, INC
Associate id - owner
9032369095
Type - owner
I
Role code - owner
25
Role text - owner
CONTRACTED MANAGING EMPLOYEE
Association date - owner
2018-12-10
First name - owner
DEAN
Middle name - owner
H
Last name - owner
FORMAN
Enrollment id
O20040401001365
Associate id
1456343086
Organization name
HERNANDO-PASCO HOSPICE, INC
Associate id - owner
9032369095
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2018-12-10
First name - owner
DEAN
Middle name - owner
H
Last name - owner
FORMAN
Title - owner
COO
Percentage ownership
0
Enrollment id
O20040401001365
Associate id
1456343086
Organization name
HERNANDO-PASCO HOSPICE, INC
Associate id - owner
9032369095
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2018-12-10
First name - owner
DEAN
Middle name - owner
H
Last name - owner
FORMAN
Percentage ownership
0

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