PBJ320
Ownership
Fort Walton Rehabilitation Center, LLC
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
3.58
23 parties: 12 organizations · 11 individuals
Owners & control parties
| Name | Owner/control PAC | Type | Role(s) | % |
|---|---|---|---|---|
| John Mangine | 2264342138 | Individual | Operational/Managerial Control; ADP of the SNF; Indirect Ownership Interest | 3 |
| Steven S Donchey | 9133012594 | Individual | Operational/Managerial Control; ADP of the SNF | — |
| William Notermann | 4082005004 | Individual | Operational/Managerial Control; ADP of the SNF | — |
| Ashley Lauren Hodge | 3274952981 | Individual | Operational/Managerial Control; ADP of the SNF | — |
| Royce M Cronquist | 5991730277 | Individual | Operational/Managerial Control; ADP of the SNF | — |
| Dawn Chery | 7810406063 | Individual | Managing Control - Governing Body; ADP of the SNF | — |
| Fate Brown | 1658375100 | Individual | Managing Control - Governing Body; ADP of the SNF | — |
| Southern Healthcare Management LLC | 2466363478 | Organization | Operational/Managerial Control; ADP of the SNF | — |
| Susan Kaar | 0446769699 | Individual | Managing Control - Governing Body; ADP of the SNF | — |
| Donald K Melton | 3678630647 | Individual | Operational/Managerial Control; ADP of the SNF | — |
| Sovereign Healthcare Holdings LLC | 4688585987 | Organization | Direct Ownership Interest | 100 |
| John J Notermann Business Tr | 7315204146 | Organization | Indirect Ownership Interest | 82.5 |
| Cronquist 2015 Family Tr | 8426351388 | Organization | Indirect Ownership Interest | 14.5 |
| Hsp Panhandle, LLC | 9537653472 | Organization | 5% or Greater Security Interest; ADP of the SNF | 100 |
| Panhandle Nursing Care, Inc. | 4880188697 | Organization | 5% or Greater Security Interest; ADP of the SNF | 100 |
| Forvis Mazars LLP | 7416866603 | Organization | ADP of the SNF | — |
| Michelle Kelly | 3577820307 | Individual | ADP of the SNF | — |
| PH-JN, LLC | 6800380742 | Organization | ADP of the SNF | — |
| PH-MC, LLC | 0244724185 | Organization | ADP of the SNF | — |
| Sovereign Healthcare Disbursements LLC | 0941717896 | Organization | ADP of the SNF | — |
| Unknown party | 2769976570 | Individual | ADP of the SNF | — |
| Wdw Trust | 4082108923 | Organization | ADP of the SNF | — |
| Orix Real Estate Capital LLC | 1355772567 | Organization | 5% or Greater Security Interest | 100 |
- Individual3Operational/Managerial Control; ADP of the SNF
- IndividualOperational/Managerial Control; ADP of the SNF
- IndividualOperational/Managerial Control; ADP of the SNF
- IndividualOperational/Managerial Control; ADP of the SNF
- IndividualOperational/Managerial Control; ADP of the SNF
- IndividualManaging Control - Governing Body; ADP of the SNF
- IndividualManaging Control - Governing Body; ADP of the SNF
- OrganizationOperational/Managerial Control; ADP of the SNF
- IndividualManaging Control - Governing Body; ADP of the SNF
- IndividualOperational/Managerial Control; ADP of the SNF
- Organization100Direct Ownership Interest
- Organization82.5Indirect Ownership Interest
- Organization14.5Indirect Ownership Interest
- Organization1005% or Greater Security Interest; ADP of the SNF
- Organization1005% or Greater Security Interest; ADP of the SNF
- OrganizationADP of the SNF
- IndividualADP of the SNF
- OrganizationADP of the SNF
- OrganizationADP of the SNF
- OrganizationADP of the SNF
- IndividualADP of the SNF
- OrganizationADP of the SNF
- Organization1005% or Greater Security Interest
Fort Walton Rehabilitation Center, LLC Portfolio
| Facility | Location | % Own. | HPRD | Ratings | Census | Flags |
|---|---|---|---|---|---|---|
Other disclo… | 3.59 | 105 |
FEC political contributions FEC contributions Beta
Name match to Fort Walton Rehabilitation Center, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.