Common use of Contractor Information Clause in Contracts

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) 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. 000-000-0000 1.5 Physical Address of Legal Entity (Xxxxxx, Xxxx, Xxxxx, ZIP Code) 000 X XXXXXX XX., XXXXX XXXXXX, XX 00000-0000 1.6 Taxpayer ID. No. (EIN or SSN) 00-0000000 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) 0000000000 1.8 Contract Effective Date (the "Begin Date") 06/01/2020 1.9 Contract Expiration Date (the "Expiration Date") Open 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) PRESTONWOOD HOME HEALTHCARE 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. (000-) 000-0000 1.5 Physical Address of Legal Entity (Xxxxxx, Xxxx, Xxxxx, ZIP XXX Code) 000 X XXXXXX XX.Xxxxxx Xx, XXXXX XXXXXXXxxxx 0, Xxxxxx, XX 00000-0000 1.6 Taxpayer ID. No. (EIN or SSN) 00-0000000 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) 0000000000 1.8 Contract Effective Date (the "Begin Date") 06/01/2020 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 Day Activity and Health Services (PHC/FC/CASDAHS)

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) PRESTONWOOD HOME HEALTHCARE COMMUNITY BRIDGE HEALTH 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. 000-000-0000 1.5 Physical Address of Legal Entity (XxxxxxStreet, XxxxCity, XxxxxState, ZIP Code) 0000 X XXXXXXX XX XXX 000 X XXXXXX XX., XXXXX XXXXXXXXXXXXXXX, XX 00000-0000 1.6 Taxpayer ID. No. (EIN or SSN) 00-0000000 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) 0000000000 1.8 Contract Effective Date (the "Begin Date") 06/01/2020 1.9 Contract Expiration Date (the "Expiration Date") Open 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) PRESTONWOOD HOME HEALTHCARE LLCAMERICARE NURSING SERVICES PLLC 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. 000-000-0000 1.5 Physical Address of Legal Entity (Xxxxxx, Xxxx, Xxxxx, ZIP Code) 000 0000 X XXXXXX XX.XXXX XXXXXXXX RD, XXXXX XXXXXXSan Juan, XX 00000-0000TX 78589 1.6 Taxpayer ID. No. (EIN or SSN) 00-0000000 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) 0000000000 1.8 Contract Effective Date (the "Begin Date") 06/01/2020 1.9 Contract Expiration Date (the "Expiration Date") Open 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) PRESTONWOOD HOME HEALTHCARE LLCAngelical Home Health, Inc. 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority xxxxxxxxxxxx@xxx.xxx 1.4 Area Code and Phone No. 000-000-0000 1.5 Physical Address of Legal Entity (XxxxxxStreet, XxxxCity, XxxxxState, ZIP Code) 000 X XXXXXX XX.Xxxx Xxxxx Xxxxxx, XXXXX XXXXXXXx Xxxx, XX Xxxxx 00000-0000 1.6 Taxpayer ID. No. (EIN or SSN) 00-0000000 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) 0000000000 1.8 Contract Effective Date (the "Begin Date") 06/01/2020 August 1, 2023 1.9 Contract Expiration Date (the "Expiration Date") OpenJuly 31, 2028 1.10 Contract Type Primary Home Care/Care/ Family Care/Care/ Community Attendant Services (PHC/FC/CAS)

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) PRESTONWOOD HOME HEALTHCARE LLCNURSES UNLIMITED INC 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority xxxxxxxxx@xxxxxxxxxx.xxx 1.4 Area Code and Phone No. 000-000-0000 1.5 Physical Address of Legal Entity (XxxxxxStreet, XxxxCity, XxxxxState, ZIP Code) 00000 X Xxxxxx Xxxx Xxx 000 X XXXXXX XX., XXXXX XXXXXXXxxxxx, XX 00000-0000 1.6 Taxpayer ID. No. (EIN or SSN) 00-0000000 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) 0000000000 1.8 Contract Effective Date (the "Begin Date") 06/01/2020 1.9 Contract Expiration Date (the "Expiration Date") Open) 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)Type

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) PRESTONWOOD HOME HEALTHCARE LLCVenus Healthcare Inc 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority xxxxxxxxxxxxxxx@xxxxx.xxx 1.4 Area Code and Phone No. 000-000-0000 1.5 Physical Address of Legal Entity (Xxxxxx, Xxxx, Xxxxx, ZIP CodeXXX Xxxx) 000 X XXXXXX XX.0000 Xxxxxxxx Xx, XXXXX XXXXXXXxxxx, XX 00000-0000 1.6 Taxpayer ID. No. (EIN or SSN) 00-0000000 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) 0000000000 1.8 Contract Effective Date (the "Begin Date") 06/01/2020 7/1/2020 1.9 Contract Expiration Date (the "Expiration Date") Open12/31/2022 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”) PRESTONWOOD HOME HEALTHCARE Xxxxxx Home Health Care LLC 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority xxxxxxxxx@xxxxx.xxx 1.4 Area Code and Phone No. 000-000-0000 1.5 Physical Address of Legal Entity (XxxxxxStreet, XxxxCity, XxxxxState, ZIP Code) 000 X XXXXXX XX.Xxxxxx Xx Xxx 0, XXXXX XXXXXXXxxxxx, XX 00000-0000Xxxxx00000 1.6 Taxpayer ID. No. (EIN or SSN) 00-0000000 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) 0000000000 1.8 Contract Effective Date (the "Begin Date") 06/01/2020 March 1, 2023 1.9 Contract Expiration Date (the "Expiration Date") OpenFebruary 28, 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”) 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. 000-000-0000 1.5 Physical Address of Legal Entity (XxxxxxStreet, XxxxCity, XxxxxState, ZIP Code) 000 X XXXXXX XX., XXXXX XXXXXX, XX 00000-0000 1.6 Taxpayer ID. No. (EIN or SSN) 00-0000000 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) 0000000000 1.8 Contract Effective Date (the "Begin Date") 06/01/2020 1.9 Contract Expiration Date (the "Expiration Date") Open 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) PRESTONWOOD HOME HEALTHCARE LLCCare Health Services Inc. 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority xxx000000@xxxxx.xxx 1.4 Area Code and Phone No. 000-000-0000 1.5 Physical Address of Legal Entity (XxxxxxStreet, XxxxCity, XxxxxState, ZIP Code) 000 X XXXXXX XX.0000 Xxxxx Xxxx Xxxx, XXXXX XXXXXXXxxxxxxx, XX 00000-0000 1.6 Taxpayer ID. No. (EIN or SSN) 00-0000000 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) 0000000000 1.8 Contract Effective Date (the "Begin Date") 06/01/2020 08/01/2020 1.9 Contract Expiration Date (the "Expiration Date") Open01/31/2023 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”) PRESTONWOOD DEL MAR PRIMARY HOME HEALTHCARE 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. (000-) 000-0000 1.5 Physical Address of Legal Entity (Xxxxxx, Xxxx, Xxxxx, ZIP XXX Code) 000 X XXXXXX XX.PO BOX 1083 Zapata, XXXXX XXXXXX, XX 00000-0000TX 78076 1.6 Taxpayer ID. No. (EIN or SSN) 00-0000000 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) 0000000000 1.8 Contract Effective Date (the "Begin Date") 06/01/2020 7/1/2020 1.9 Contract Expiration Date (the "Expiration Date") Open 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services (PHC/FC/CAS)

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) PRESTONWOOD WE ARE ONE HOME HEALTHCARE LLCCARE 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority XXXXX@XXXXXXXXXXXXXXXX.XXX 1.4 Area Code and Phone No. 000-000-0000. 1.5 Physical Address of Legal Entity (Xxxxxx, Xxxx, Xxxxx, ZIP XXX Code) 000 X 00000 XXXXXX XX.XXXXX COURT, XXXXX XXXXXXHouston, XX 00000-0000TX 77044 1.6 Taxpayer ID. No. (EIN or SSN) 0081-0000000 36139716 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) 0000000000 1.8 Contract Effective Date (the "Begin Date") 06/01/2020 05/01/2020 1.9 Contract Expiration Date (the "Expiration Date") OpenOPEN 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”) PRESTONWOOD HOME HEALTHCARE LLCNurses Unlimited Inc. 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority xxxxxxxxx@xxxxxxxxxx.xxx 1.4 Area Code and Phone No. 000No.000-000-0000 1.5 Physical Address of Legal Entity (Xxxxxx, Xxxx, Xxxxx, ZIP XXX Code) 000 X XXXXXX XX.PO Box 4534, XXXXX XXXXXXOdessa, XX 00000-0000TX 79760 1.6 Taxpayer ID. No. (EIN or SSN) 00-0000000 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) 0000000000 1.8 Contract Effective Date (the "Begin Date") 06/01/2020 June 1, 2020 1.9 Contract Expiration Date (the "Expiration Date") Open 1.10 Contract Type Primary Home Care/Family Care/Community Attendant Services with Services Responsibility Option (PHC/FC/CAS-SRO)

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) PRESTONWOOD HOME HEALTHCARE 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 xxxxxxxxx@xxx.xxx 1.4 Area Code and Phone No. 000-000-0000 1.5 Physical Address of Legal Entity (XxxxxxStreet, XxxxCity, XxxxxState, ZIP Code) 000 X XXXXXX XX.X. Xxxx Xxx. Ste B Robstown, XXXXX XXXXXX, XX 00000-0000TX 78380 1.6 Taxpayer ID. No. (EIN or SSN) 00-0000000 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) 0000000000 1.8 Contract Effective Date (the "Begin Date") 06/01/2020 05/01/2024 1.9 Contract Expiration Date (the "Expiration Date") Open04/30/2029 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”) PRESTONWOOD HOME HEALTHCARE 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. 000-000-0000 1.5 Physical Address of Legal Entity (Xxxxxx, Xxxx, Xxxxx, ZIP XXX Code) 000 X XXXXXX XX.00000 Xxxx Xxxxxxx Xxxxx, XXXXX XXXXXXXxxx, XX 00000-0000 1.6 Taxpayer ID. No. (EIN or SSN) 00-0000000 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) 0000000000 1.8 Contract Effective Date (the "Begin Date") 06/01/2020 08/01/2020 1.9 Contract Expiration Date (the "Expiration Date") Open01/31/2023 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”) PRESTONWOOD HOME HEALTHCARE 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. 000-000-0000 1.5 Physical Address of Legal Entity (XxxxxxStreet, XxxxCity, XxxxxState, ZIP Code) 000 X XXXXXX XX.0000 Xxx Xxxxxx Xx, XXXXX XXXXXXXxxxxxx, XX 00000-0000 1.6 Taxpayer ID. No. (EIN or SSN) 00-0000000 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) 0000000000 1.8 Contract Effective Date (the "Begin Date") 06/01/2020 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)

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) PRESTONWOOD HOME HEALTHCARE LLCXxxxx Health Care Inc 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority xxxxxxxxxxxxxxx@xxx.xxx 1.4 Area Code and Phone No. (000-) 000-0000 1.5 Physical Address of Legal Entity (Xxxxxx, Xxxx, Xxxxx, ZIP XXX Code) 000 X XXXXXX XX., XXXXX XXXXXX, XX X. 00xx Xxxxxx Xxxxxxxx Xxxxx 00000-0000 1.6 Taxpayer ID. No. (EIN or SSN) 00-0000000 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) 0000000000 1.8 Contract Effective Date (the "Begin Date") 06/01/2020 September 1, 2023 1.9 Contract Expiration Date (the "Expiration Date") OpenAugust 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”) PRESTONWOOD HOME HEALTHCARE GLADKIDS LLC 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority xxxxxxxxxxxx@xxxxx.xxx 1.4 Area Code and Phone No. 000-000-0000 1.5 Physical Address of Legal Entity (XxxxxxStreet, XxxxCity, XxxxxState, ZIP Code) 000 X 00000 XXXXXX XX.XXX LN, XXXXX XXXXXXHOUSTON, XX 00000TX 77083-00007712 1.6 Taxpayer ID. No. (EIN or SSN) 00-0000000 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) 0000000000 1.8 Contract Effective Date (the "Begin Date") 06/01/2020 07/01/2020 1.9 Contract Expiration Date (the "Expiration Date") OpenOPEN 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”) PRESTONWOOD HOME HEALTHCARE LLCDe Los Xxxxxx 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 xxxxxxxxxxxxxx0@xxxxx.xxx 1.4 Area Code and Phone No. (000-) 000-0000 1.5 Physical Address of Legal Entity (Xxxxxx, Xxxx, Xxxxx, ZIP XXX Code) 000 X XXXXXX X. 00xx Xx Xxx X, Xxxxx, XX., XXXXX XXXXXX, XX 00000-0000 1.6 Taxpayer ID. No. (EIN or SSN) 00-0000000 18622002238 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) 0000000000 1.8 Contract Effective Date (the "Begin Date") 06/01/2020 06/01/2023 1.9 Contract Expiration Date (the "Expiration Date") Open05/31/2026 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”) PRESTONWOOD HOME HEALTHCARE LLCStamd Health Care Inc. 1.2 Doing Business As (d/b/a) Name, if applicable 1.3 Email Address of Contractor's Signature Authority xxxxxxxxxxxxxxx@xxxxx.xxx 1.4 Area Code and Phone No. 000No.000-000-0000 1.5 Physical Address of Legal Entity (Xxxxxx, Xxxx, Xxxxx, ZIP CodeXXX Xxxx) 000 X XXXXXX XX.00000 Xxxxxx Xxxxx Xxx, XXXXX XXXXXXXxxxxxxx, XX 00000-0000 1.6 Taxpayer ID. No. (EIN or SSN) 00-0000000 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) 0000000000 1.8 Contract Effective Date (the "Begin Date") 06/01/2020 May 1, 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)

Contractor Information. 1.1 Name of Legal Entity (the “Contractor”) PRESTONWOOD HOME 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. (000-) 000-0000 1.5 Physical Address of Legal Entity (Xxxxxx, Xxxx, Xxxxx, ZIP Code) 000 X XXXXXX XX., XXXXX XXXXXX, XX 00000-0000XXX XXXX 00 XXX X 1.6 Taxpayer ID. No. (EIN or SSN) 00-0000000 1.7 National Provider Identifier (NPI) or Atypical Provider Identifier (API) 0000000000 1.8 Contract Effective Date (the "Begin Date") 06/01/2020 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)