Common use of Contractor Information Clause in Contracts

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) De Los Angeles Home Health Services LLC 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. (▇▇▇) ▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ▇▇▇ ▇▇▇▇) ▇▇▇▇ ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇▇▇, ▇▇, ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) 18329580338 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 02/01/2023 1.9 Contract Expiration Date (the "Expiration Date") 01/31/2026 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) De Los Angeles Home Health Services PRESTONWOOD HOME HEALTHCARE LLC 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. (▇▇▇) -▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ZIP Code) ▇▇▇ ▇ ▇▇▇▇▇▇ ▇▇., ▇▇) ▇▇▇▇ ▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇▇▇, ▇▇, ▇-▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) 18329580338 ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 02/01/2023 06/01/2020 1.9 Contract Expiration Date (the "Expiration Date") 01/31/2026Open 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) De Los Angeles Home Health El Jardin Provider Services LLC 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. (▇▇▇) -▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ZIP Code) ▇▇▇ ▇▇▇▇) ▇▇▇▇ ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇, ▇▇▇ ▇▇▇-▇, ▇▇▇▇▇▇▇, ▇▇, ▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) 18329580338 ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 02/01/2023 9/1/2020 1.9 Contract Expiration Date (the "Expiration Date") 01/31/20262/28/2023 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) De Los Angeles Palm Valley Primary Home Health Services LLCCare Inc 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. (▇▇▇) -▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ZIP Code) ▇▇▇ ▇▇▇▇) ▇▇▇▇ ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇, ▇▇▇ ▇, ▇▇▇▇▇▇▇▇, ▇▇, ▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) 18329580338 ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 02/01/2023 7/1/2020 1.9 Contract Expiration Date (the "Expiration Date") 01/31/202612/31/2022 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) De Los Angeles Home Health Palomita Attendant Services LLC 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. (▇▇▇) -▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ZIP Code) ▇▇▇ ▇▇▇▇) ▇▇▇▇ ▇▇▇▇▇▇▇▇▇ ▇▇▇, ▇▇▇ ▇▇▇▇, ▇▇▇▇▇▇▇, ▇▇, ▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) 18329580338 ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 02/01/2023 9/1/2020 1.9 Contract Expiration Date (the "Expiration Date") 01/31/20262/28/2023 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) De Los Angeles Paloma Primary Home Health Services Care LLC 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. (▇▇▇) -▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ZIP Code) ▇▇▇ ▇▇▇▇) ▇▇▇▇ ▇▇▇▇. ▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇Vista Dr. Ste. B, ▇▇▇▇▇▇▇Palmview, ▇▇, ▇▇▇▇▇TX 78572 1.6 Taxpayer ID. No. (EIN or SSN) 18329580338 ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 02/01/2023 08/01/2020 1.9 Contract Expiration Date (the "Expiration Date") 01/31/202601/31/2023 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) De Los Angeles Home Health Services La Hacienda Homecare LLC 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. (▇▇▇) -▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇Street, ▇▇▇▇City, ▇▇▇▇▇State, ▇▇▇ ▇▇▇▇ZIP Code) ▇▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇▇▇Ste 4A, ▇▇Edinburg, ▇▇▇▇▇TX 78539 1.6 Taxpayer ID. No. (EIN or SSN) 18329580338 ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 02/01/2023 9/1/2020 1.9 Contract Expiration Date (the "Expiration Date") 01/31/20262/28/2023 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) De Los Angeles Home All Generations Health Services LLCCare Inc 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. (▇▇▇) -▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇Street, ▇▇▇▇City, ▇▇▇▇▇State, ▇▇▇ ▇▇▇▇ZIP Code) ▇▇▇▇ ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇ ▇▇▇▇ E, ▇▇▇▇▇▇▇McAllen, ▇▇, ▇▇▇▇▇TX 78501 1.6 Taxpayer ID. No. (EIN or SSN) 18329580338 ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 02/01/2023 7/1/2020 1.9 Contract Expiration Date (the "Expiration Date") 01/31/202612/31/2022 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) De Los Angeles Home Health Services LLCSouthern Homecare Inc. 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. (▇▇▇) -▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ▇▇▇ ▇▇▇▇) ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇▇▇Suite B10, ▇▇El Paso, ▇▇▇▇▇TX 79936-6075 1.6 Taxpayer ID. No. (EIN or SSN) 18329580338 ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 02/01/2023 07/01/2020 1.9 Contract Expiration Date (the "Expiration Date") 01/31/202612/31/2022 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) De Los Angeles Home Health Amazing Grace Nursing Services LLCInc 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. (▇▇▇) ▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ▇▇▇ ▇▇▇▇) ▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇ ▇▇▇, ▇▇▇ ▇▇▇▇, ▇▇▇▇▇▇▇, ▇▇, ▇▇▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) 18329580338 ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 02/01/2023 01/01/2021 1.9 Contract Expiration Date (the "Expiration Date") 01/31/202608/07/2021 1.10 Contract Type Primary Home Care/Family Care/Care/ Community Attendant Services (PHC/FC/CAS)

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) De Los Angeles JOMA Home Health Services Care Services, LLC 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. (▇▇▇) -▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ▇▇▇ ▇▇▇▇) ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇ ▇▇▇., ▇▇▇ ▇▇▇▇, ▇▇▇▇▇▇▇, ▇▇, ▇▇▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) 18329580338 ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 02/01/2023 05/01/2021 1.9 Contract Expiration Date (the "Expiration Date") 01/31/202604/30/2024 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) De Los Angeles Home Health Services Floresita Homecare LLC 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. (▇▇▇) -▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ZIP Code) ▇▇▇ ▇▇▇▇) ▇▇▇▇ ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇▇▇Ste 9, ▇▇McAllen, ▇▇▇▇▇TX 78501 1.6 Taxpayer ID. No. (EIN or SSN) 18329580338 ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 02/01/2023 9/1/2020 1.9 Contract Expiration Date (the "Expiration Date") 01/31/20262/28/2023 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) De Los Angeles Home Health Services LLCLittle Flower Homehealth, Inc. 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. (▇▇▇) ▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ▇▇▇ Code) ▇▇▇▇) ▇ ▇▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇. Ste ▇▇▇ ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇▇▇, ▇▇, ▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) 18329580338 ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 02/01/2023 08/01/2021 1.9 Contract Expiration Date (the "Expiration Date") 01/31/202607/31/2024 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) De Los Angeles Home Health Services Emerald Total Care, LLC. 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇@▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. (▇▇▇) ▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (Street, City, State, ZIP Code) ▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ▇▇▇ ▇▇▇▇) ▇▇▇▇ ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇▇▇, ▇▇, ▇▇▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) 18329580338 ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 02/01/2023 07/01/2021 1.9 Contract Expiration Date (the "Expiration Date") 01/31/202606/30/2026 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) De Los Angeles Home All Generations Health Services LLCCare Inc 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority ▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇▇ 1.4 Area Code and Phone No. (▇▇▇) -▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ▇▇▇ ▇▇▇▇) ▇▇▇▇ ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇ ▇▇▇▇ E, ▇▇▇▇▇▇▇McAllen, ▇▇, ▇▇▇▇▇TX 78501 1.6 Taxpayer ID. No. (EIN or SSN) 18329580338 ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 02/01/2023 7/1/2020 1.9 Contract Expiration Date (the "Expiration Date") 01/31/202612/31/2022 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)