Carrollwood Rehabilitation Center LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 0840540613 Enrollment ID O20180829002549

Details

Linked facilitiesFacilities
1
StatesStates
1

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
Donald K Melton3678630647IndividualOperational/Managerial Control; ADP of the SNF
Royce M Cronquist5991730277IndividualOperational/Managerial Control; ADP of the SNF
Klemen M Ribic9537269451IndividualOperational/Managerial Control; ADP of the SNF
Frederick Landy1850485103IndividualManaging Control - Governing Body; ADP of the SNF
Dawn Chery7810406063IndividualManaging Control - Governing Body; 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

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Northdale Rehabilitation Center
Carrollwood Rehabilitation Center LLC
115 residents
Other disclo…
3.61Ovr★★★★Stf★★★☆☆Ins★★★☆☆QM★★★★★115
  • Carrollwood Rehabilitation Center LLC
    Other disclosed role115 res3.61 HPRD
    Overall 4Staffing Staff 3

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
Related CMS associates

FEC political contributions FEC contributions Beta

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