South Campus Nursing and Rehab LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 0345619102 Enrollment ID O20221217000310

Details

Linked facilitiesFacilities
1
StatesStates
1

6 parties: 4 organizations · 2 individuals

Owners & control parties

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

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
South Campus Care Center and Rehab
South Campus Nursing and Rehab LLC
114 residents
Other disclo…
3.61Ovr★★★☆☆Stf★★☆☆☆Ins★★★☆☆QM★★★★114

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
Related CMS associates

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.