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207 MARSHALL DR
PERRY, FL 32347-1835
Phone: (850) 584-6334
County: Taylor

Mailing Address

207 MARSHALL DR
PERRY, FL 32347-1835
County: Taylor
Website: http://www.consulatehealthcare.com

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: JOSEPH H LEWIS III
Financial Officer: JOSEPH H LEWIS III
Owner/Licensee: 207 MARSHALL DRIVE OPERATIONS LLC
Owner/Licensee Since: 2/1/2012
NamePositionOwnership
EPSILON HEALTH CARE PROPERTIES, LLC 100%
SHALONDA MORTONBOARD MEMBER/OFFICER0%
Profit Status: For-Profit
Management Company: CMC II, LLC
Manager Since: 12/30/2011
NamePositionOwnership
LAVIE CARE CENTERS, LLC 100%
CHRISTOPHER R BRYSONBOARD MEMBER/OFFICER0%
DANIEL E DIASBOARD MEMBER/OFFICER0%
KENNETH USSERYBOARD MEMBER/OFFICER0%
RUSSELL D RAGLANDBOARD MEMBER/OFFICER0%
TODD B MEHAFFEYBOARD MEMBER/OFFICER0%
Licensed Beds: 120
Bed Types:
Community Beds : 120
Sheltered Beds : 0
Pediatric Beds : 0
Private Rooms : 10
2-Bed Rooms : 55
3-Bed Rooms : 0
4-Bed Rooms : 0
AHCA Number (File Number): 26201
AHCA Field Office: 02
License Number: 1436096
Current License Effective: 6/2/2017
Expires: 1/31/2018
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $216.30
Occupancy/Occupancy Rate :  107 / 88.98%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Filipino, Spanish
Payment Forms Accepted :  CHAMPUS/TRICARE, Insurance and/or HMO, Medicaid, Medicare, Workers Compensation
Special Programs and Services :  Alzheimer's, Dialysis, HIV Care, Hospice Care, Pet Therapy, Respite, Tracheotomy

Legal Actions

Date ImposedCase #Case TypeViolationFine Amount
10/19/2017 2017007031 FineSurvey $1,000.00
10/19/2017 2017007031 Conditional LicenseSurvey N/A
03/28/2011 2011002236 FineReporting $500.00
05/09/2007 2007000692 FineSurvey $1,000.00
12/19/2006 2006003578 FineSurvey $600.00
12/19/2006 2006000644 FineSurvey $1,050.00
12/19/2006 2006003576 FineSurvey $600.00
11/29/2006 2007000693 Conditional LicenseSurvey N/A
02/01/2006 2005001085 FineSurvey $4,125.00
01/10/2006 2006000645 Conditional LicenseSurvey N/A
01/05/2005 2005001086 Conditional LicenseSurvey 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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