PBJ320 Ownership

Florida Department of Veterans Affairs

Provider / enrollment organizationFlorida
PAC5698686608Enrollment IDO20060110001129, O20081112000493, O20101122000638, O20120320000504 (+4)

By state

State#
FL1
Total1

Details

Enrollment and owner PAC. This number appears as both the facility enrollment and an owner/control party in CMS data.
Total Facilities
1
Overall rating
3.0
Total nurse HPRD
4.14

27 parties: 1 organizations · 26 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Lawrence Militello4284916065IndividualOperational/Managerial Control; ADP of the SNF100
Lindsay Mallard9638451388IndividualOperational/Managerial Control0.1
Omayra Colon Aponte8729504741IndividualOperational/Managerial Control
Joshua Star Firebaugh1355863630IndividualOperational/Managerial Control
Jennifer Reyes5597048983IndividualOperational/Managerial Control; ADP of the SNF
Ahmad Fadel5294825022IndividualOperational/Managerial Control; ADP of the SNF
Vicki Dickerson7113442765IndividualOperational/Managerial Control
Brandy Gaylord5698291698IndividualOperational/Managerial Control
Kelli Champagne4385162031IndividualOperational/Managerial Control
Joceylyn Wurster0941373203IndividualOperational/Managerial Control; ADP of the SNF
Donna Scrima5597135962IndividualOperational/Managerial Control
Paula Smith1951684349IndividualOperational/Managerial Control
Cattibell Rodriguez2860888351IndividualOperational/Managerial Control; ADP of the SNF
Marlies Sarrett8628351350IndividualOperational/Managerial Control; ADP of the SNF
Florida Department of Veterans Affairs5698686608Organization5% or Greater Direct Ownership Interest; Direct Ownership Interest100
Unknown party1951829795IndividualTrustee of the SNF; ADP of the SNF; Indirect Ownership Interest0
Alfred Carter6608036181IndividualCorporate Director; ADP of the SNF100, 0
Katiria Perry Huff9638695653IndividualCorporate Director; ADP of the SNF0
Paula S Twitty1951635614IndividualCorporate Director; ADP of the SNF0
Donna Rogers7214232081IndividualCorporate Director; ADP of the SNF0
Keith Anthony Williams0941483804IndividualADP of the SNF
Gabriel Nuriel3971562695IndividualADP of the SNF
Sandford H Kinne5890845705IndividualADP of the SNF
Carlos M Sanchez4284719980IndividualADP of the SNF
Rezeq F Elbataineh5799711412IndividualADP of the SNF
Show all 27 parties (2 more)
NameOwner/control PACTypeRole(s)%
Lawrence Militello4284916065IndividualOperational/Managerial Control; ADP of the SNF100
Lindsay Mallard9638451388IndividualOperational/Managerial Control0.1
Omayra Colon Aponte8729504741IndividualOperational/Managerial Control
Joshua Star Firebaugh1355863630IndividualOperational/Managerial Control
Jennifer Reyes5597048983IndividualOperational/Managerial Control; ADP of the SNF
Ahmad Fadel5294825022IndividualOperational/Managerial Control; ADP of the SNF
Vicki Dickerson7113442765IndividualOperational/Managerial Control
Brandy Gaylord5698291698IndividualOperational/Managerial Control
Kelli Champagne4385162031IndividualOperational/Managerial Control
Joceylyn Wurster0941373203IndividualOperational/Managerial Control; ADP of the SNF
Donna Scrima5597135962IndividualOperational/Managerial Control
Paula Smith1951684349IndividualOperational/Managerial Control
Cattibell Rodriguez2860888351IndividualOperational/Managerial Control; ADP of the SNF
Marlies Sarrett8628351350IndividualOperational/Managerial Control; ADP of the SNF
Florida Department of Veterans Affairs5698686608Organization5% or Greater Direct Ownership Interest; Direct Ownership Interest100
Unknown party1951829795IndividualTrustee of the SNF; ADP of the SNF; Indirect Ownership Interest0
Alfred Carter6608036181IndividualCorporate Director; ADP of the SNF100, 0
Katiria Perry Huff9638695653IndividualCorporate Director; ADP of the SNF0
Paula S Twitty1951635614IndividualCorporate Director; ADP of the SNF0
Donna Rogers7214232081IndividualCorporate Director; ADP of the SNF0
Keith Anthony Williams0941483804IndividualADP of the SNF
Gabriel Nuriel3971562695IndividualADP of the SNF
Sandford H Kinne5890845705IndividualADP of the SNF
Carlos M Sanchez4284719980IndividualADP of the SNF
Rezeq F Elbataineh5799711412IndividualADP of the SNF
Wayne N Evancho1850451923IndividualADP of the SNF
Vincent J Dilella3375440472IndividualADP of the SNF

Linked facilities

FacilityEnrollment IDLocationCity
Emory L Bennett Memorial Veterans Nursing Home
Florida Department of Veterans Affairs
115 residents
O20060110001129DAYTONA BEACH
Associated Owners · 20
Show associated owners
NameSharedLink
Ahmad Fadel1/1
Alfred Carter1/1
Brandy Gaylord1/1
Carlos M Sanchez1/1
Cattibell Rodriguez1/1
Donna Rogers1/1
Donna Scrima1/1
Gabriel Nuriel1/1
Jennifer Reyes1/1
Joceylyn Wurster1/1
Joshua Star Firebaugh1/1
Katiria Perry Huff1/1
Keith Anthony Williams1/1
Kelli Champagne1/1
Lawrence Militello1/1
Lindsay Mallard1/1
Marlies Sarrett1/1
Omayra Colon Aponte1/1
Paula S Twitty1/1
Paula Smith1/1

As owner/control party on 1 other enrollment(s).

Also reported as owner / control elsewhere

FacilityLocation%HPRDRatingsCensusFlags
Emory L Bennett Memorial Veterans Nursing Home
Florida Department of Veterans Affairs
115 residents
Since Nov. 2014Since 11/14
4.14Ovr★★★☆☆Stf★★★★Ins★★★☆☆QM★★☆☆☆115

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Name match to Florida Department of Veterans Affairs in FEC filings. Similar names may appear—confirm on FEC.gov.