PBJ320 Ownership

South Campus Nursing and Rehab LLC

Provider / enrollment organizationFlorida
Enrollment PAC0345619102Enrollment IDO20221217000310

By state

State#
FL1
Total1

Details

Enrollment entity. CMS facility enrollment PAC with linked owners, facilities, and any ownership transactions in CMS data.
Total Facilities
1
Overall rating
3.0
Total nurse HPRD
3.64

6 parties: 4 organizations · 2 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Joshua Wagoner6608042676IndividualW-2 Managing Employee100
Fl Master Opco Holdco LLC6204210602Organization5% or Greater Indirect Ownership Interest100
South Campus Nursing Holdco LLC3072982834Organization5% or Greater Direct Ownership Interest100
Fl SNF Trust I8921482324Organization5% or Greater Indirect Ownership Interest50
Fl SNF Trust II9830573237Organization5% or Greater Indirect Ownership Interest50
Jack Y Shelby3173922960IndividualCorporate Officer100

South Campus Nursing and Rehab LLC Portfolio

Facility Location % Own. HPRD Ratings Census Flags
South Campus Care Center and Rehab
South Campus Nursing and Rehab LLC
113 residents
Other disclo…
3.64Ovr★★★☆☆Stf★★☆☆☆Ins★★★☆☆QM★★★★113

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
07/27/2022South Campus Care Center and RehabSouth Campus Nursing and Rehab LLCSouth Campus Facility IncBuyer
  1. 07/27/2022
    South Campus Facility IncSouth Campus Nursing and Rehab LLC
Associated Owners · 1
Show associated owners
NameSharedLink
South Campus Facility Inc1 CHOW

FEC political contributions FEC contributions Beta

Name match to South Campus Nursing and Rehab LLC in FEC filings. Similar names may appear—confirm on FEC.gov.