Web Site:
www.hubinternational.com
Counties in which services
are provided: Country Wide - US & Canada
To go to
Member Information about their business, click on topic below:
Hours of Operation
Ownership and
Verification Information
Additional Member Information
Membership Category
Home Care Services Offered
Other Home Care
Services Offered
Member’s
Employment Information and Practices
Scheduled Hours of Operation
Office:
Hours/Days: 8:00 am - 5:00 pm
Service Hours -
Days/Evenings/Nights: Monday - Friday 8 - 5
Weekends: No
Office Staff Availability: 8:00am - 5:00pm Monday -
Friday
A.
Ownership
-
The name and type of
entity (corporation, association, governmental unit, person or
partners) legally responsible for operating the business is a:
Limited Liability Corporation
2.
State License # On file with the
Association
3.
Federal ID # On file with the
Association
4.
State Tax ID # On file with the Association
5.
The names, titles and addresses of all officers,
directors, owners and managerial
employees, and the percent of ownership if proprietary.
|
Names of Officers,
Directors,
Owners, and Managerial
Employees
|
Title (President, Director, Partner, Stockholder, etc.) |
Address
(Street, City, Zip)
|
Percent of
Ownership (if proprietary) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
6. A Certificate of Good Standing for the corporation to
do business in the State of Arizona from the Arizona Corporations Commission
is on file with the Association. This certificate was valid as of the day of
the Member's application.
7. List the name of
the business, corporation’s, or LLC’s Agent(s):
8. Other office locations:
(Back to the Top)
Additional Member
Information
|
Yes____ No
U |
Have any of
the Member’s Officers, Directors, Owners, or Managerial Employees ever
been convicted of any criminal offense, other than a minor
traffic violation? |
|
Yes___ No U
|
Are any of the Member’s
Officers, Directors, Owners, or Managerial Employees licensed or
certified in any capacity of health or home care? |
| Yes
____ No U |
Have any of the Member’s
Officers, Directors, Owners, or Managerial Employees had their
license/certification ever revoked or suspended or any other
disciplinary action taken against them by a licensing body? |
|
Yes ____ No
U |
Have the owners or
principals of the Member’s business been involved, had interest in, or
owned a Non-Medical Home Care business, or other health care business,
that has either shut down its operations or went out of business? |
B.
Membership Category
U
Associate Member - Those who are engaged in the
non-medical home care industry as part of providing other medical,
palliative, or services.
(Back to the Top)
