Selling a Business

If you are Interested in Selling your Business or having a valuation of your business for FREE please fill out the form below:

Agency Name *

Your Name *

First

Last

Email *

Confirm Email

Name of Principals *

Please enter the names of the Owners

Agency Address

Address Line 1

Address Line 2

City

State

Zip Code

Agency Phone

Cell / Other Phone

Agency Email *

Area / Counties Served

Medicare District

Date Agency Founded

Medicare Certified

License #

NPI #

Medicare / Medicaid #

Counties Serviced

Patient Census Per Year for the last three years:

Type of Business Entity

(INC, LLC, Etc.)

Please include a detailed description of the business you are selling:

License renewal and reaccreditation dates?

File Upload

Please include a copy of your state license and acceptance letter, as well as medicare accreditation certificate(if applicable). Please Compress Files into 1 Zipped File

Number of employees :

0-24
25-49
50-99
100 +

Payor Mix?

Top 5 contracted Payors?

Captcha *

How do you spell ENTER

Website

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Toll Free: 844-359-4224 or 941-751-4224.