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5600 VICTORIA GARDENS BLVD
PORT ORANGE, FL 32127
Phone: (386) 760-7773
County: Volusia

Mailing Address

5600 VICTORIA GARDENS BLVD
PORT ORANGE, FL 32127
County: Volusia
Website: http://www.portorangerehab.com

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: ROBERT L BECKMAN
Financial Officer: DONALD K MELTON
Owner/Licensee: SOVEREIGN HEALTHCARE OF PORT ORANGE, 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: 120
Bed Types:
Community Beds : 120
Sheltered Beds : 0
Pediatric Beds : 0
Private Rooms : 12
2-Bed Rooms : 54
3-Bed Rooms : 0
4-Bed Rooms : 0
AHCA Number (File Number): 46424
AHCA Field Office: 04
License Number: 130471000
Current License Effective: 10/1/2017
Expires: 9/30/2019
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Gold Seal Award Recipient :  Gold Seal1/1/2017 - 12/31/2019 Gold Seal Award
Current Daily Rate ($) of Semi-Private Room :  $282.00
Occupancy/Occupancy Rate :  127 / 106%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Filipino, Italian, Sign Language, Spanish
Payment Forms Accepted :  Insurance and/or HMO, Medicaid, Medicare
Special Programs and Services :  Alzheimer's, HIV Care, Hospice Care, Pet Therapy, Respite, Tracheotomy

Legal Actions

Date ImposedCase #Case TypeViolationFine Amount
11/09/2017 2017012175 Rule Variance/WaiverAdministrative Rule N/A
04/17/2013 2011002791 Conditional LicenseSurvey N/A
04/17/2013 2011002790 FineSurvey $2,500.00
01/18/2006 2005009801 FineSurvey $2,500.00
10/28/2005 2005009803 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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