PBJ320 Ownership

Sovereign Healthcare of Tampa, LLC

Provider / enrollment organizationFlorida
Enrollment PAC4587560222Enrollment IDO20031211000869

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
3.80

18 parties: 8 organizations · 10 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
John Mangine2264342138IndividualOperational/Managerial Control; ADP of the SNF; Indirect Ownership Interest3
William Notermann4082005004IndividualOperational/Managerial Control; ADP of the SNF
Cynthia Fitzpatrick6901956465IndividualOperational/Managerial Control; ADP of the SNF
Frederick Landy1850485103IndividualManaging Control - Governing Body; ADP of the SNF
Royce M Cronquist5991730277IndividualOperational/Managerial Control; ADP of the SNF
Dawn Chery7810406063IndividualManaging Control - Governing Body; ADP of the SNF
Ambrose John Joseph Chazhikattu0446406706IndividualOperational/Managerial Control; ADP of the SNF
Donald K Melton3678630647IndividualOperational/Managerial Control; ADP of the SNF
Southern Healthcare Management LLC2466363478OrganizationOperational/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
Tampa Health Properties, Ltd.3274027677Organization5% or Greater Security Interest; ADP of the SNF100
Michelle Kelly3577820307IndividualADP of the SNF
Forvis Mazars LLP7416866603OrganizationADP of the SNF
Gloworth, LLC4183118581OrganizationADP of the SNF
Sovereign Healthcare Disbursements LLC0941717896OrganizationADP of the SNF

Sovereign Healthcare of Tampa, LLC Portfolio

Facility Location % Own. HPRD Ratings Census Flags
Bayshore Pointe Nursing and Rehab Center
Sovereign Healthcare of Tampa, LLC
106 residents
Other disclo…
3.80Ovr★★★☆☆Stf★★★★Ins★★☆☆☆QM★★★★★106

FEC political contributions FEC contributions Beta

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