Common use of Contractor Information Clause in Contracts

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) AMOROSA HEALTHCARE 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) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 07/01/2020 1.9 Contract Expiration Date (the "Expiration Date") OPEN 1.10 Contract Type PRIMARY HOME CARE/FAMILY CARE/COMMUNITY ATTENDANT SERVICES (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) AMOROSA HEALTHCARE SERVICES At Your Service Primary Home 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) ▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 07/01/2020 February 1, 2023 1.9 Contract Expiration Date (the "Expiration Date") OPENJanuary 31, 2026 1.10 Contract Type PRIMARY HOME CAREPrimary Home Care/FAMILY CAREFamily Care/COMMUNITY ATTENDANT SERVICES Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) AMOROSA HEALTHCARE SERVICES GLADKIDS 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) ▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇ ▇▇▇▇ ▇▇ ▇▇▇ ▇LN, HOUSTON, TX 77083-7712 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 07/01/2020 1.9 Contract Expiration Date (the "Expiration Date") OPEN 1.10 Contract Type PRIMARY HOME CAREPrimary Home Care/FAMILY CAREFamily Care/COMMUNITY ATTENDANT SERVICES Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) AMOROSA HEALTHCARE SERVICES Glorious Healthcare 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) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 07/01/2020 06/01/2022 1.9 Contract Expiration Date (the "Expiration Date") OPEN05/31/2025 1.10 Contract Type PRIMARY HOME CAREPrimary Health Care/FAMILY CAREFamily Care/COMMUNITY ATTENDANT SERVICES Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) AMOROSA HEALTHCARE SERVICES Amana Home 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▇▇▇ ▇▇▇▇) ▇▇▇▇▇▇▇▇▇▇▇ ▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇, ▇▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 07/01/2020 06/01/2021 1.9 Contract Expiration Date (the "Expiration Date") OPEN05/31/2024 1.10 Contract Type PRIMARY HOME CAREPrimary Home Care/FAMILY CAREFamily Care/COMMUNITY ATTENDANT SERVICES Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) AMOROSA HEALTHCARE SERVICES ▇▇▇▇▇▇ Healing Community 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) ▇▇▇ ▇▇▇▇▇▇ ▇▇. ▇▇▇▇ ▇▇ ▇▇▇, TX 76036 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 07/01/2020 September 1, 2020 1.9 Contract Expiration Date (the "Expiration Date") OPENFebruary 28, 2023 1.10 Contract Type PRIMARY HOME CAREPrimary Home Care/FAMILY CAREFamily Care/COMMUNITY ATTENDANT SERVICES (PHC/FC/CAS)Community Attendant Services

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) AMOROSA HEALTHCARE SERVICES ▇▇▇▇▇▇ Home Health 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) ▇▇▇ ▇▇▇▇▇▇ ▇▇ ▇▇▇ ▇, ▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ZIP Code) ▇▇▇ ▇ ▇▇▇▇▇▇ ▇▇▇ ▇▇▇▇ ▇▇ ▇▇▇ ▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 07/01/2020 March 1, 2023 1.9 Contract Expiration Date (the "Expiration Date") OPENFebruary 28, 2026 1.10 Contract Type PRIMARY HOME CAREPrimary Home Care/FAMILY CAREFamily Care/COMMUNITY ATTENDANT SERVICES Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) AMOROSA HEALTHCARE SERVICES LLCDor-An's Home Health Service, 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) ▇▇▇ . ▇▇▇▇ ▇▇▇▇▇ ▇▇ ▇▇▇ ▇. Ste B Robstown, TX 78380 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 07/01/2020 05/01/2024 1.9 Contract Expiration Date (the "Expiration Date") OPEN04/30/2029 1.10 Contract Type PRIMARY HOME CAREPrimary Home Care/FAMILY CAREFamily Care/COMMUNITY ATTENDANT SERVICES Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) AMOROSA HEALTHCARE SERVICES LLCAngelical Home Health, 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) ▇▇▇ ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇ ▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ZIP Code) ▇▇▇ ▇ ▇▇▇▇▇▇ ▇▇▇ ▇▇▇▇ ▇▇ ▇▇▇ ▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 07/01/2020 August 1, 2023 1.9 Contract Expiration Date (the "Expiration Date") OPENJuly 31, 2028 1.10 Contract Type PRIMARY HOME CARE/FAMILY CARE/COMMUNITY ATTENDANT SERVICES Primary Home Care/ Family Care/ Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) AMOROSA HEALTHCARE SERVICES LLCCare Health Services 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) ▇▇▇▇ ▇▇▇▇▇▇, ▇▇ ▇▇▇▇, ▇▇▇▇▇, ZIP Code) ▇▇▇, ▇▇ ▇▇▇▇▇▇ ▇▇▇ ▇▇▇▇ ▇▇ ▇▇▇ ▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 07/01/2020 08/01/2020 1.9 Contract Expiration Date (the "Expiration Date") OPEN01/31/2023 1.10 Contract Type PRIMARY HOME CAREPrimary Home Care/FAMILY CAREFamily Care/COMMUNITY ATTENDANT SERVICES Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) AMOROSA HEALTHCARE SERVICES El Paso Home 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▇▇▇ ▇▇▇▇) ▇▇▇ ▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇ ▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 07/01/2020 02/01/2024 1.9 Contract Expiration Date (the "Expiration Date") OPEN01/31/2027 1.10 Contract Type PRIMARY HOME CAREPrimary Home Care/FAMILY CAREFamily Care/COMMUNITY ATTENDANT SERVICES Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) AMOROSA HEALTHCARE SERVICES All Things Enterprise, LLC 1.2 Doing Business As (d/b/a) Name, if applicableapplicable Assurance Home Health 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) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 07/01/2020 June 1, 2021 1.9 Contract Expiration Date (the "Expiration Date") OPENMay 31, 2024 1.10 Contract Type PRIMARY HOME CARE/FAMILY CARE/COMMUNITY ATTENDANT SERVICES Primary Home Care/ Family Care/ Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) AMOROSA HEALTHCARE SERVICES LLC▇▇▇▇▇ Health Care 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) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 07/01/2020 September 1, 2023 1.9 Contract Expiration Date (the "Expiration Date") OPENAugust 31, 2026 1.10 Contract Type PRIMARY HOME CAREPrimary Home Care/FAMILY CAREFamily Care/COMMUNITY ATTENDANT SERVICES Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) AMOROSA HEALTHCARE SERVICES LLCBCP Health Care Incorporated 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) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 07/01/2020 04/01/2021 1.9 Contract Expiration Date (the "Expiration Date") OPEN04/01/2026 1.10 Contract Type PRIMARY HOME CAREPrimary Home Care/FAMILY CARE/COMMUNITY ATTENDANT SERVICES Family Care/ Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) AMOROSA HEALTHCARE SERVICES LLCPriority Home Health Care 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) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 07/01/2020 08/01/2020 1.9 Contract Expiration Date (the "Expiration Date") OPEN01/31/2023 1.10 Contract Type PRIMARY HOME CAREPrimary Home Care/FAMILY CAREFamily Care/COMMUNITY ATTENDANT SERVICES Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) AMOROSA HEALTHCARE SERVICES Acredable Healthcare 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▇▇▇ ▇▇▇▇) ▇▇▇▇▇▇▇▇▇▇ ▇▇▇ ▇▇▇▇ ▇▇ ▇▇▇ ▇, Arlington, TX 76018 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇1245623323 1.8 Contract Effective Date (the "Begin Date") 07/01/2020 8/1/2020 1.9 Contract Expiration Date (the "Expiration Date") OPEN1/31/2023 1.10 Contract Type PRIMARY HOME CAREPrimary Home Care/FAMILY CAREFamily Care/COMMUNITY ATTENDANT SERVICES Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) AMOROSA HEALTHCARE SERVICES LLCRasha Home Health Services 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. (No.▇▇▇) -▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (Street, City, State, ZIP Code) ▇▇▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇, ▇▇▇▇▇, ZIP Code) ▇▇, ▇▇ ▇▇▇▇▇▇ ▇▇▇ ▇▇▇▇ ▇▇ ▇▇▇ ▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 07/01/2020 June 1, 2020 1.9 Contract Expiration Date (the "Expiration Date") OPENOpen 1.10 Contract Type PRIMARY HOME CAREPrimary Home Care/FAMILY CAREFamily Care/COMMUNITY ATTENDANT SERVICES Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) AMOROSA HEALTHCARE SERVICES Ventura 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 (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ZIP Code▇▇▇ ▇▇▇▇) ▇▇▇ ▇ ▇▇▇▇▇▇ ▇▇▇ ▇▇▇▇ ▇▇▇ ▇, Mission, TX 78572 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 07/01/2020 9/1/2020 1.9 Contract Expiration Date (the "Expiration Date") OPEN2/28/2023 1.10 Contract Type PRIMARY HOME CAREPrimary Home Care/FAMILY CAREFamily Care/COMMUNITY ATTENDANT SERVICES Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) AMOROSA HEALTHCARE SERVICES VITALIS HOME HEALTH 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) ▇▇▇ ▇ ▇▇▇▇▇▇ ▇▇▇ ▇▇▇▇ ▇▇▇▇ APT 1428, FRISCO, TX 75035 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 07/01/2020 06/01/2020 1.9 Contract Expiration Date (the "Expiration Date") OPEN 1.10 Contract Type PRIMARY HOME CAREPrimary Home Care/FAMILY CAREFamily Care/COMMUNITY ATTENDANT SERVICES Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) AMOROSA HEALTHCARE SERVICES LLCDe Los ▇▇▇▇▇▇ Primary Home Care Inc #2 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) ▇▇-▇▇▇▇▇▇▇ 18622002238 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 07/01/2020 06/01/2023 1.9 Contract Expiration Date (the "Expiration Date") OPEN05/31/2026 1.10 Contract Type PRIMARY HOME CAREPrimary Home Care/FAMILY CAREFamily Care/COMMUNITY ATTENDANT SERVICES Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the "Contractor") AMOROSA HEALTHCARE SERVICES Friendly Care Primary Services LLC 1.2 Doing Business As (d/b/a) Name, if applicableapplicable Friendly Care Primary Services 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) ▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ZIP Code) ▇▇▇ ▇ ▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇ ▇▇▇ ▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 07/01/2020 02/01/2025 1.9 Contract Expiration Date (the "Expiration Date") OPEN01/31/2028 1.10 Contract Type PRIMARY HOME CAREPrimary Home Care/FAMILY CAREFamily Care/COMMUNITY ATTENDANT SERVICES Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) AMOROSA HEALTHCARE SERVICES LLCStamd Health Care 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. (No.▇▇▇) -▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ZIP Code▇▇▇ ▇▇▇▇) ▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇, ▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 07/01/2020 May 1, 2020 1.9 Contract Expiration Date (the "Expiration Date") OPENOpen 1.10 Contract Type PRIMARY HOME CAREPrimary Home Care/FAMILY CAREFamily Care/COMMUNITY ATTENDANT SERVICES Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) AMOROSA HEALTHCARE SERVICES BlackCasino, LLC 1.2 Doing Business As (d/b/a) Name, if applicableapplicable Daybreak Adult Day Care 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) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 07/01/2020 01/01/2021 1.9 Contract Expiration Date (the "Expiration Date") OPEN10/31/2023 1.10 Contract Type PRIMARY HOME CARE/FAMILY CARE/COMMUNITY ATTENDANT SERVICES Day Activity and Health Services (PHC/FC/CASDAHS)

Appears in 1 contract

Sources: Community Services Contract

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) AMOROSA HEALTHCARE SERVICES Wellness Home Health 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) ▇▇▇ . ▇▇▇▇ ▇▇▇ ▇▇▇▇ ▇▇ ▇▇▇ ▇St., Edinburg, TX 78539-4324 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 07/01/2020 07/01/2024 1.9 Contract Expiration Date (the "Expiration Date") OPEN06/30/2027 1.10 Contract Type PRIMARY HOME CAREPrimary Home Care/FAMILY CAREFamily Care/COMMUNITY ATTENDANT SERVICES Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) AMOROSA HEALTHCARE SERVICES LLCSmart Choice Caregivers 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) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 07/01/2020 03/01/2021 1.9 Contract Expiration Date (the "Expiration Date") OPEN01/01/2025 1.10 Contract Type PRIMARY HOME CAREPrimary Home Care/FAMILY CARE/COMMUNITY ATTENDANT SERVICES Family Care/ Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) AMOROSA HEALTHCARE SERVICES LLCAmoye Healthcare Services 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) ▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇. ▇▇▇▇▇▇ ▇▇ ▇▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 07/01/2020 06/01/2024 1.9 Contract Expiration Date (the "Expiration Date") OPEN05/31/2027 1.10 Contract Type PRIMARY HOME CAREPrimary Home Care/FAMILY CAREFamily Care/COMMUNITY ATTENDANT SERVICES Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) AMOROSA HEALTHCARE SERVICES LLCCOSMEC HEALTH CARE RESOURCE 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) ▇▇▇ ▇ ▇▇▇▇▇▇ ▇▇▇ ▇▇▇▇▇ ▇▇, ▇▇▇▇▇▇▇, ▇▇▇▇▇▇-▇▇▇▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 07/01/2020 1.9 Contract Expiration Date (the "Expiration Date") OPENOpen 1.10 Contract Type PRIMARY HOME CAREPrimary Home Care/FAMILY CAREFamily Care/COMMUNITY ATTENDANT SERVICES Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) AMOROSA HEALTHCARE SERVICES TX Newlife Home Health 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. (No.▇▇▇) -▇▇▇-▇▇▇▇ 1.5 Physical Address of Legal Entity (▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ZIP Code▇▇▇ ▇▇▇▇) ▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇, ▇▇▇▇ ▇▇ ▇▇▇, TX 75454 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 07/01/2020 09/01/2020 1.9 Contract Expiration Date (the "Expiration Date") OPEN02/28/2023 1.10 Contract Type PRIMARY HOME CAREPrimary Home Care/FAMILY CAREFamily Care/COMMUNITY ATTENDANT SERVICES Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) AMOROSA HEALTHCARE SERVICES LLCAssurance Home Health Services, 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) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 07/01/2020 05/01/2021 1.9 Contract Expiration Date (the "Expiration Date") OPEN04/30/2024 1.10 Contract Type PRIMARY HOME CAREPrimary Home Care/FAMILY CAREFamily Care/COMMUNITY ATTENDANT SERVICES Community Attendant Care (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement

Contractor Information. 1.1 Name of Legal Entity (the "Contractor") AMOROSA HEALTHCARE SERVICES LLCPromesa Home Health 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) ▇▇▇▇ ▇ ▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇, ▇▇▇▇▇, ZIP Code) ▇▇▇ ▇ ▇▇▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇ ▇▇▇ ▇ 1.6 Taxpayer ID. No. (EIN or SSN) ▇▇-▇▇▇▇▇▇▇ 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) ▇▇▇▇▇▇▇▇▇▇ 1.8 Contract Effective Date (the "Begin Date") 07/01/2020 10/01/2024 1.9 Contract Expiration Date (the "Expiration Date") OPEN09/30/2029 1.10 Contract Type PRIMARY HOME CAREPrimary Home Care/FAMILY CAREFamily Care/COMMUNITY ATTENDANT SERVICES Community Attendant Services (PHC/FC/CAS)

Appears in 1 contract

Sources: Community Services Contract Provider Agreement