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306 WEST BROCK AVENUE
BONIFAY, FL 32425
Phone: (850) 547-9289
County: Holmes

Mailing Address

306 WEST BROCK AVENUE
BONIFAY, FL 32425
County: Holmes
Website: http://www.bonifayrehab.com

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: DEXTER BARBER
Financial Officer: DONALD K MELTON
Owner/Licensee: SOVEREIGN HEALTHCARE OF BONIFAY, LLC
Owner/Licensee Since: 10/1/2003
NamePositionOwnership
SOVEREIGN HEALTHCARE HOLDINGS, LLC 100%
Profit Status: For-Profit
Management Company: SOUTHERN HEALTHCARE MANAGEMENT LLC
Manager Since: 10/1/2003
NamePositionOwnership
JOHN JOSEPH NOTERMANBOARD MEMBER/OFFICER50%
ROYCE MARK CRONQUISTBOARD MEMBER/OFFICER46%
Licensed Beds: 180
Bed Types:
Community Beds : 180
Sheltered Beds : 0
Pediatric Beds : 0
Private Rooms : 12
2-Bed Rooms : 84
3-Bed Rooms : 0
4-Bed Rooms : 0
AHCA Number (File Number): 22302
AHCA Field Office: 02
License Number: 10570961
Current License Effective: 10/6/2016
Expires: 9/30/2018
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $234.00
Occupancy/Occupancy Rate :  148 / 82.32%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Filipino, Spanish
Payment Forms Accepted :  CHAMPUS/TRICARE, Medicaid, Medicare
Special Programs and Services :  Dialysis, HIV Care, Hospice Care, Respite, Tracheotomy

Legal Actions

Date ImposedCase #Case TypeViolationFine Amount
11/09/2017 2017012182 Rule Variance/WaiverAdministrative Rule N/A
Please note the legal actions above may have been issued to a prior owner. The Final Order displays the name of the licensee responsible for the legal action that was taken.

Consumer Guides:



Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.
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