Sovereign Healthcare of Bonifay LLC

Mixed CMS roles
Provider / enrollment organization Enrollment PAC 6204747462 Enrollment ID O20030911000011

Facilities by state

  • FL1

Details

Linked facilitiesFacilities
1

19 parties: 9 organizations · 10 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
John Mangine2264342138IndividualOperational/Managerial Control; ADP of the SNF; Indirect Ownership Interest3
Southern Healthcare Management LLC2466363478OrganizationOperational/Managerial Control; ADP of the SNF0
William Notermann4082005004IndividualOperational/Managerial Control; ADP of the SNF
Robert Brown0749373959IndividualOperational/Managerial Control; ADP of the SNF
Royce M Cronquist5991730277IndividualOperational/Managerial Control; ADP of the SNF
Donald K Melton3678630647IndividualOperational/Managerial Control; ADP of the SNF
Mohammad Yunus0547330003IndividualOperational/Managerial Control; ADP of the SNF
Dawn Chery7810406063IndividualManaging Control - Governing Body; ADP of the SNF
Fate Brown1658375100IndividualManaging Control - Governing Body; 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
Fl Bonifay Holdings, LLC3870085848Organization5% 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

Linked facilities

Facility Location % Own. HPRD Ratings Census Flags
Bonifay Nursing and Rehab Center
Sovereign Healthcare of Bonifay LLC
146 residents
Other disclo…
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Related CMS associates

FEC political contributions FEC contributions Beta

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