Treyburn Rehabilitation Center LLC

Enrollment entity
Provider / enrollment organization Enrollment PAC 9436433695 Enrollment ID O20170307001656

Details

Linked facilitiesFacilities
1
StatesStates
1

18 parties: 9 organizations · 9 individuals

Owners & control parties

NameOwner/control PACTypeRole(s)%
Southern Healthcare Management LLC2466363478OrganizationOperational/Managerial Control100
Jon David Salter9234421132IndividualOperational/Managerial Control; ADP of the SNF
Forvis Mazars LLP7416866603OrganizationOperational/Managerial Control; ADP of the SNF
William Notermann4082005004IndividualOperational/Managerial Control; ADP of the SNF
Patrick J O Brien1153223367IndividualOperational/Managerial Control; ADP of the SNF
Royce M Cronquist5991730277IndividualOperational/Managerial Control; ADP of the SNF
Donald K Melton3678630647IndividualOperational/Managerial Control; ADP of the SNF
Sovereign Healthcare Disbursements LLC0941717896OrganizationOperational/Managerial Control; 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 LLC4688585987Organization5% or Greater Direct Ownership Interest100
John J Notermann Business Tr7315204146Organization5% or Greater Indirect Ownership Interest82.5
Cronquist 2015 Family Tr8426351388OrganizationIndirect Ownership Interest14.5
John Mangine2264342138IndividualADP of the SNF; Indirect Ownership Interest3
2059, LLC9032626981Organization5% or Greater Mortgage Interest; ADP of the SNF100
Health Services Properties LLC8123535077Organization5% or Greater Mortgage Interest; ADP of the SNF100
Michelle Kelly3577820307IndividualADP of the SNF
Berkadia Commercial Mortgage LLC5890962047Organization5% or Greater Security Interest100

Linked facilities

Facility Location Role / stake HPRD Ratings Census Flags
Treyburn Rehabilitation Center
Treyburn Rehabilitation Center LLC
100 residents
Other disclo…
3.66Ovr★★★☆☆Stf★★☆☆☆Ins★★☆☆☆QM★★★★★100
  • Treyburn Rehabilitation Center LLC
    Other disclosed role100 res3.66 HPRD
    Overall 3Staffing Staff 2

Ownership history

1 CMS ownership change record (showing 1)

EffectiveFacilityBuyerSellerSide
02/01/2017Treyburn Rehabilitation CenterTreyburn Rehabilitation Center LLCTreyburn Healthcare, IncBuyer
  1. 02/01/2017
    Treyburn Healthcare, IncTreyburn Rehabilitation Center LLC
Related CMS associates

FEC political contributions FEC contributions Beta

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