Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 3577820307 · 46 matching records

Enrollment id
O20030903000009
Associate id
0547171878
Organization name
SOVEREIGN HEALTHCARE OF MEDICANA, LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20030903000012
Associate id
1456262799
Organization name
SOVEREIGN HEALTHCARE OF METRO WEST LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20030903000013
Associate id
4082525324
Organization name
SOVEREIGN HEALTHCARE OF ORANGE CITY LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20030903000014
Associate id
0446161780
Organization name
SOVEREIGN HEALTHCARE OF PALM CITY LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20030903000015
Associate id
2264343508
Organization name
SOVEREIGN HEALTHCARE OF PALMETTO, LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20030903000016
Associate id
5890606131
Organization name
SOVEREIGN HEALTHCARE OF PORT ORANGE LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20030903000019
Associate id
9436060779
Organization name
SOVEREIGN HEALTHCARE OF TITUSVILLE LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20030903000020
Associate id
1254242597
Organization name
SOVEREIGN HEALTHCARE OF PORT ST. LUCIE, LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20030903000021
Associate id
4880505122
Organization name
SOVEREIGN HEALTHCARE OF TUSKAWILLA, LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20030908000005
Associate id
8426969718
Organization name
SOVEREIGN HEALTHCARE OF MACCLENNY LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20030908000024
Associate id
0143131458
Organization name
SOVEREIGN HEALTHCARE OF JACKSONVILLE, LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20030910000023
Associate id
9032020268
Organization name
SOVEREIGN HEALTHCARE OF ORLANDO LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Title - owner
CHIEF FINANCIAL OFFICER
Percentage ownership
100
Enrollment id
O20030910000023
Associate id
9032020268
Organization name
SOVEREIGN HEALTHCARE OF ORLANDO LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-09-18
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20030911000007
Associate id
7416868666
Organization name
SOVEREIGN HEALTHCARE OF WEST PALM BEACH LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20030911000011
Associate id
6204747462
Organization name
SOVEREIGN HEALTHCARE OF BONIFAY LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20030912000003
Associate id
8921919184
Organization name
SOVEREIGN HEALTHCARE OF ATLANTIC SHORES LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20030919000019
Associate id
5395656466
Organization name
SOVEREIGN HEALTHCARE OF ST AUGUSTINE LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20031211000869
Associate id
4587560222
Organization name
SOVEREIGN HEALTHCARE OF TAMPA, LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20040806000100
Associate id
7517878739
Organization name
SOVEREIGN HEALTHCARE OF INVERNESS, LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20051005000902
Associate id
8123053402
Organization name
WARNER ROBINS REHABILITATION CENTER, LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20051005000902
Associate id
8123053402
Organization name
WARNER ROBINS REHABILITATION CENTER, LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20120213000188
Associate id
8426215823
Organization name
BLOUNTSTOWN REHABILITATION CENTER, LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20120213000540
Associate id
1557528981
Organization name
CRESTVIEW REHABILITATION CENTER, LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20120213000635
Associate id
2668639097
Organization name
FORT WALTON REHABILITATION CENTER, LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20121005000514
Associate id
0042469082
Organization name
MARION HOUSE REHABILITATION CENTER LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20130129000021
Associate id
9032363049
Organization name
BRADEN RIVER REHABILITATION CENTER LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20130625000614
Associate id
2264671114
Organization name
SARASOTA BAY REHABILITATION CENTER, LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2017-11-16
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20140422001555
Associate id
7416189659
Organization name
MONROE REHABILITATION CENTER LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20140422001555
Associate id
7416189659
Organization name
MONROE REHABILITATION CENTER LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20140423000269
Associate id
8426280603
Organization name
RALEIGH REHABILITATION CENTER LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20140423000269
Associate id
8426280603
Organization name
RALEIGH REHABILITATION CENTER LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20140423001169
Associate id
8820221013
Organization name
SUNNYBROOK REHABILITATION CENTER LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20140423001236
Associate id
9638302839
Organization name
PETTIGREW REHABILITATION CENTER LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Title - owner
CHIEF FINANCIAL OFFICER
Percentage ownership
100
Enrollment id
O20140423002159
Associate id
0648403873
Organization name
LINCOLNTON REHABILITATION CENTER LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20140424000374
Associate id
5092948240
Organization name
SILAS CREEK REHABILITATION CENTER LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20140425001748
Associate id
4587897640
Organization name
ZEBULON REHABILITATION CENTER LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20140425001830
Associate id
5193958254
Organization name
ABERCORN REHABILITATION CENTER LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
40
Role text - owner
CORPORATE OFFICER
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Title - owner
CHIEF FINANCIAL OFFICER
Percentage ownership
100
Enrollment id
O20140425001830
Associate id
5193958254
Organization name
ABERCORN REHABILITATION CENTER LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20140603000862
Associate id
2264655687
Organization name
ROCKY MOUNT REHABILITATION CENTER LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20170307001656
Associate id
9436433695
Organization name
TREYBURN REHABILITATION CENTER LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-09-18
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20180820001136
Associate id
3870842123
Organization name
LANIER REHABILITATION CENTER LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-10-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20180822001186
Associate id
6406105535
Organization name
PARKVIEW REHABILITATION CENTER AT WINTER PARK LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20180829002549
Associate id
0840540613
Organization name
CARROLLWOOD REHABILITATION CENTER LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2018-02-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20240620001383
Associate id
7113460023
Organization name
LAKE WORTH REHABILITATION CENTER, LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-05-01
First name - owner
MICHELLE
Last name - owner
KELLY
Enrollment id
O20250129000199
Associate id
0244769719
Organization name
MARIANNA REHABILITATION CENTER, LLC
Associate id - owner
3577820307
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-02-01
First name - owner
MICHELLE
Last name - owner
KELLY

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