PBJ320 Ownership

Crestview Rehabilitation Center, LLC

Provider / enrollment organizationFlorida
Enrollment PAC1557528981Enrollment IDO20120213000540

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
5.0
Total nurse HPRD
3.67

23 parties: 12 organizations · 11 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
John Mangine2264342138IndividualOperational/Managerial Control; ADP of the SNF; Indirect Ownership Interest3
Steven S Donchey9133012594IndividualOperational/Managerial Control; ADP of the SNF
William Notermann4082005004IndividualOperational/Managerial Control; ADP of the SNF
Daniel Patrick Blakely7719312461IndividualOperational/Managerial Control; ADP of the SNF
Royce M Cronquist5991730277IndividualOperational/Managerial Control; ADP of the SNF
Dawn Chery7810406063IndividualManaging Control - Governing Body; ADP of the SNF
Fate Brown1658375100IndividualManaging Control - Governing Body; ADP of the SNF
Southern Healthcare Management LLC2466363478OrganizationOperational/Managerial Control; ADP of the SNF
Donald K Melton3678630647IndividualOperational/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
Crestview Manor, Inc .8628562568Organization5% or Greater Security Interest; ADP of the SNF100
Hsp Panhandle, LLC9537653472Organization5% or Greater Security Interest; ADP of the SNF100
Forvis Mazars LLP7416866603OrganizationADP of the SNF
Michelle Kelly3577820307IndividualADP of the SNF
PH-JN, LLC6800380742OrganizationADP of the SNF
PH-MC, LLC0244724185OrganizationADP of the SNF
Sovereign Healthcare Disbursements LLC0941717896OrganizationADP of the SNF
Unknown party9133613086IndividualADP of the SNF
Wdw Trust4082108923OrganizationADP of the SNF
Orix Real Estate Capital LLC1355772567Organization5% or Greater Security Interest100

Crestview Rehabilitation Center, LLC Portfolio

Facility Location % Own. HPRD Ratings Census Flags
Other disclo…
3.67Ovr★★★★★Stf★★★★Ins★★★★★QM★★★★★132

FEC political contributions FEC contributions Beta

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