Sovereign Healthcare of Medicana, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 0547171878 Enrollment ID O20030903000009

Details

Linked facilitiesFacilities
1
StatesStates
1

19 parties: 9 organizations · 10 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Royce M Cronquist5991730277IndividualOperational/Managerial Control; ADP of the SNF; Indirect Ownership Interest14.5
John Mangine2264342138IndividualOperational/Managerial Control; ADP of the SNF; Direct Ownership Interest3
William Notermann4082005004IndividualOperational/Managerial Control; ADP of the SNF
Tamia Shunnett Jones3577931021IndividualOperational/Managerial Control; ADP of the SNF
Lloyd C Lagrange9931190980IndividualOperational/Managerial Control; ADP of the SNF
Donald K Melton3678630647IndividualOperational/Managerial Control; ADP of the SNF
Southern Healthcare Management LLC2466363478OrganizationOperational/Managerial Control
Dawn Chery7810406063IndividualManaging Control - Governing Body; ADP of the SNF
Charles Bell4385748334IndividualManaging Control - Governing Body; ADP of the SNF
Susan Kaar0446769699IndividualManaging Control - Governing Body; ADP of the SNF
Sovereign Healthcare Holdings LLC4688585987Organization5% or Greater Direct Ownership Interest100
John J Notermann Business Tr7315204146Organization5% or Greater Indirect Ownership Interest82.5
Cronquist 2015 Family Tr8426351388Organization5% or Greater Indirect Ownership Interest14.5
Fl Medicana Holdings, LLC9638666316Organization5% or Greater Security Interest; ADP of the SNF100
Health Services Properties LLC8123535077Organization5% or Greater Security Interest; ADP of the SNF100
Forvis Mazars LLP7416866603OrganizationADP of the SNF
Michelle Kelly3577820307IndividualADP of the SNF
Sovereign Healthcare Disbursements LLC0941717896OrganizationADP of the SNF
Centennial Bank1456848134Organization5% or Greater Security Interest100

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Medicana Nursing and Rehab Center
Sovereign Healthcare of Medicana, LLC
77 residents
Other disclo…
3.80Ovr★★★☆☆Stf★★★★Ins★★★☆☆QM★★★★77
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Sovereign Healthcare of Medicana, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.