Public record

CMS Home Health Agency All Owners

Associate id - owner: 9133364375 · 3 matching records

Enrollment id
O20160321002200
Associate id
5395042246
Organization name
PROFESSIONAL HEALTHCARE GROUP INC
Associate id - owner
9133364375
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
CITADEL
Middle name - owner
M
Last name - owner
CHAVEZ
Title - owner
CEO
Percentage ownership
16.65
Enrollment id
O20200812002813
Associate id
6507130473
Organization name
CITADEL & IVAN LLC
Associate id - owner
9133364375
Type - owner
I
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2016-08-16
First name - owner
CITADEL
Middle name - owner
M
Last name - owner
CHAVEZ
Percentage ownership
100
Enrollment id
O20200812002813
Associate id
6507130473
Organization name
CITADEL & IVAN LLC
Associate id - owner
9133364375
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2016-08-16
First name - owner
CITADEL
Middle name - owner
M
Last name - owner
CHAVEZ
Title - owner
CEO
Percentage ownership
100

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