Flagler Pines Operations LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 7810307865 Enrollment ID O20201103002540

Details

Linked facilitiesFacilities
1
StatesStates
1

10 parties: 3 organizations · 7 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Donna Wildes5092984559IndividualCorporate Officer; Operational/Managerial Control; ADP of the SNF
Delana Dawn Canidate0648778860IndividualOperational/Managerial Control; ADP of the SNF
Eileen R. Wothers2466950688IndividualOperational/Managerial Control
Axel Martinez Irizarry6103971353IndividualOperational/Managerial Control; ADP of the SNF
Tammy Jardine3375041593IndividualOperational/Managerial Control
Flagler Pines Operations Holdings LLC2062822521Organization5% or Greater Direct Ownership Interest100
Blue Spring Healthcare Partners LLC0648680173Organization5% or Greater Indirect Ownership Interest100
Samuel Gutman8820351505Individual5% or Greater Indirect Ownership Interest99
Unknown party2264925932IndividualIndirect Ownership Interest1
Aston Healthcare LLC2163942194OrganizationADP of the SNF

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Flagler Health and Rehabilitation Center
Flagler Pines Operations LLC
99 residents
Other disclo…
3.35Ovr★★☆☆☆Stf☆☆☆☆Ins★★☆☆☆QM★★★★★99

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
11/03/2020Flagler Health and Rehabilitation CenterFlagler Pines Operations LLCMf Flagler LLCBuyer
  1. 11/03/2020
    Mf Flagler LLCFlagler Pines Operations LLC
Related CMS associates

FEC political contributions FEC contributions Beta

Name match to Flagler Pines Operations LLC in FEC filings. Similar names may appear—confirm on FEC.gov.