Lake Worth Rehabilitation Center, LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 7113460023 Enrollment ID O20240620001383

Details

Linked facilitiesFacilities
1
StatesStates
1

19 parties: 9 organizations · 10 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Southern Healthcare Management LLC2466363478OrganizationOperational/Managerial Control; ADP of the SNF100
John Mangine2264342138IndividualOperational/Managerial Control; ADP of the SNF; Indirect Ownership Interest3
Jason A Watt0345416731IndividualOperational/Managerial Control; ADP of the SNF
Tanisha Spurlock8820576317IndividualOperational/Managerial Control; ADP of the SNF
Donald K Melton3678630647IndividualOperational/Managerial Control; ADP of the SNF
Royce M Cronquist5991730277IndividualOperational/Managerial Control; ADP of the SNF
William Notermann4082005004IndividualOperational/Managerial Control; ADP of the SNF
Charles Bell4385748334IndividualManaging Control - Governing Body; ADP of the SNF
Dawn Chery7810406063IndividualManaging Control - Governing Body; ADP of the SNF
Susan Kaar0446769699IndividualManaging Control - Governing Body; ADP of the SNF
Sovereign Healthcare Holdings LLC4284177197OrganizationDirect Ownership Interest100
John J Notermann Business Tr7315204146OrganizationIndirect Ownership Interest82.5
Cronquist 2015 Family Tr8426351388OrganizationIndirect Ownership Interest14.5
Health Services Properties LLC8123535077Organization5% or Greater Security Interest; ADP of the SNF100
Lwre, LLC0840778338Organization5% 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 Role / stake HPRD Ratings Census Flags
Lake Worth Rehabilitation Center
Lake Worth Rehabilitation Center, LLC
99 residents
Other disclo…
3.55Ovr★★☆☆☆Stf★★★★Ins★★☆☆☆QM★★★★99
  • Lake Worth Rehabilitation Center, LLC
    Other disclosed role99 res3.55 HPRD
    Overall 2Staffing Staff 4
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Name match to Lake Worth Rehabilitation Center, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.