Public record

CMS Home Health Agency All Owners

Associate id - owner: 9931360138 · 4 matching records

Enrollment id
O20051227000265
Associate id
3274555727
Organization name
HENNEPIN HOME HEALTH CARE, INC.
Associate id - owner
9931360138
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2003-01-01
First name - owner
MARK
Last name - owner
MATA
Title - owner
PRESIDENT
Percentage ownership
49
Enrollment id
O20051227000265
Associate id
3274555727
Organization name
HENNEPIN HOME HEALTH CARE, INC.
Associate id - owner
9931360138
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2003-01-01
First name - owner
MARK
Last name - owner
MATA
Title - owner
BOARD MEMBER
Percentage ownership
100
Enrollment id
O20051227000265
Associate id
3274555727
Organization name
HENNEPIN HOME HEALTH CARE, INC.
Associate id - owner
9931360138
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2003-01-01
First name - owner
MARK
Last name - owner
MATA
Title - owner
PRESIDENT
Percentage ownership
100
Enrollment id
O20051227000265
Associate id
3274555727
Organization name
HENNEPIN HOME HEALTH CARE, INC.
Associate id - owner
9931360138
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2003-01-01
First name - owner
MARK
Last name - owner
MATA
Title - owner
PRESIDENT
Percentage ownership
100

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