PBJ320 Ownership

Carrollwood Rehabilitation Center LLC

Provider / enrollment organizationFlorida
Enrollment PAC0840540613Enrollment IDO20180829002549

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
3.68

19 parties: 9 organizations · 10 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Southern Healthcare Management LLC2466363478OrganizationOperational/Managerial Control; ADP of the SNF100
John Mangine2264342138IndividualOperational/Managerial Control; ADP of the SNF; Indirect Ownership Interest3
William Notermann4082005004IndividualOperational/Managerial Control; ADP of the SNF
Brian T Mccoy2264500107IndividualOperational/Managerial Control; ADP of the SNF
Frederick Landy1850485103IndividualManaging Control - Governing Body; ADP of the SNF
Donald K Melton3678630647IndividualOperational/Managerial Control; ADP of the SNF
Royce M Cronquist5991730277IndividualOperational/Managerial Control; ADP of the SNF
Dawn Chery7810406063IndividualManaging Control - Governing Body; ADP of the SNF
Klemen M Ribic9537269451IndividualOperational/Managerial Control; ADP of the SNF
Susan Kaar0446769699IndividualManaging Control - Governing Body; ADP of the SNF
Sovereign Healthcare Holdings LLC4688585987OrganizationDirect Ownership Interest100
John J Notermann Business Tr7315204146OrganizationIndirect Ownership Interest82.5
Cronquist 2015 Family Tr8426351388OrganizationIndirect Ownership Interest14.5
3030 Carrollwood, LLC1759868078Organization5% 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
Sovereign Healthcare Disbursements LLC0941717896OrganizationADP of the SNF
Michelle Kelly3577820307IndividualADP of the SNF
Orix Real Estate Capital LLC1355772567Organization5% or Greater Security Interest100

Carrollwood Rehabilitation Center LLC Portfolio

Facility Location % Own. HPRD Ratings Census Flags
Northdale Rehabilitation Center
Carrollwood Rehabilitation Center LLC
111 residents
Other disclo…
3.68Ovr★★★☆☆Stf★★★☆☆Ins★★★☆☆QM★★★★111

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
09/19/2018Northdale Rehabilitation CenterCarrollwood Rehabilitation Center LLCManor Care - Carrollwood of Tampa Fl, LLCBuyer
  1. 09/19/2018
    Manor Care - Carrollwood of Tampa Fl, LLCCarrollwood Rehabilitation Center LLC
Associated Owners · 1
Show associated owners
NameSharedLink
Manor Care - Carrollwood of Tampa Fl, LLC1 CHOW

FEC political contributions FEC contributions Beta

Name match to Carrollwood Rehabilitation Center LLC in FEC filings. Similar names may appear—confirm on FEC.gov.