PBJ320 Ownership

Blountstown Rehabilitation Center, LLC

Provider / enrollment organizationFlorida
Enrollment PAC8426215823Enrollment IDO20120213000188

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
5.0
Total nurse HPRD
3.47

17 parties: 7 organizations · 10 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
John Mangine2264342138IndividualOperational/Managerial Control; ADP of the SNF; Indirect Ownership Interest3
William Notermann4082005004IndividualOperational/Managerial Control; ADP of the SNF
Trenton S Nobles3375929284IndividualOperational/Managerial Control; ADP of the SNF
Royce M Cronquist5991730277IndividualOperational/Managerial Control; ADP of the SNF
Dawn Chery7810406063IndividualManaging Control - Governing Body; ADP of the SNF
Fate Brown1658375100IndividualManaging 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
Iqbal Faruqui4880504109IndividualOperational/Managerial Control; 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
Hsp Panhandle, LLC9537653472Organization5% or Greater Security Interest; ADP of the SNF100
Michelle Kelly3577820307IndividualADP of the SNF
Sovereign Healthcare Disbursements LLC0941717896OrganizationADP of the SNF
Forvis Mazars LLP7416866603OrganizationADP of the SNF

Blountstown Rehabilitation Center, LLC Portfolio

Facility Location % Own. HPRD Ratings Census Flags
River Valley Rehabilitation Center
Blountstown Rehabilitation Center, LLC
125 residents
Other disclo…
3.47Ovr★★★★★Stf★★★☆☆Ins★★★★QM★★★★★125

FEC political contributions FEC contributions Beta

Name match to Blountstown Rehabilitation Center, LLC in FEC filings. Similar names may appear—confirm on FEC.gov.