PBJ320 Ownership

Sovereign Healthcare of Port Orange LLC

Provider / enrollment organizationFlorida
Enrollment PAC5890606131Enrollment IDO20030903000016

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
2.0
Total nurse HPRD
3.47

14 parties: 7 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Husam E Eddin7113945874IndividualOperational/Managerial Control; ADP of the SNF
Royce M Cronquist5991730277IndividualOperational/Managerial Control; ADP of the SNF
Dawn Chery7810406063IndividualManaging Control - Governing Body; ADP of the SNF
Henry Gerrity1850450941IndividualOperational/Managerial Control; Managing 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 Interest
Fl Port Orange Holdings LLC3476050147Organization5% 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
Michelle Kelly3577820307IndividualADP of the SNF
Sovereign Healthcare Disbursements LLC0941717896OrganizationADP of the SNF
Berkadia Commercial Mortgage LLC5890962047Organization5% or Greater Security Interest100

Sovereign Healthcare of Port Orange LLC Portfolio

Facility Location % Own. HPRD Ratings Census Flags
Port Orange Nursing and Rehab Center
Sovereign Healthcare of Port Orange LLC
107 residents
Other disclo…
3.47Ovr★★☆☆☆Stf☆☆☆☆Ins★★☆☆☆QM★★★★★107

FEC political contributions FEC contributions Beta

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