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9393 PARK BLVD
SEMINOLE, FL 33777-4140
Phone: (727) 391-2200
County: Pinellas

Mailing Address

9393 PARK BLVD
SEMINOLE, FL 33777-4140
County: Pinellas
Website: http://Consulatehealthcare.com

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: MONIKA K PETERS
Financial Officer: MONIKA K PETERS
Owner/Licensee: ST PETERSBURG FACILITY OPERATIONS, LLC
Owner/Licensee Since: 1/1/2007
NamePositionOwnership
LV CHC HOLDINGS I, LLC 100%
KENNETH USSERYBOARD MEMBER/OFFICER0%
ROBIN T BASCHNAGELBOARD MEMBER/OFFICER0%
Profit Status: For-Profit
Management Company: CMC II, LLC
Manager Since: 7/31/2012
NamePositionOwnership
LAVIE CARE CENTERS, LLC 100%
CHRISTOPHER R BRYSONBOARD MEMBER/OFFICER0%
DANIEL E DIASBOARD MEMBER/OFFICER0%
KENNETH USSERYBOARD MEMBER/OFFICER0%
STEVEN A VAN CAMPBOARD MEMBER/OFFICER0%
TODD B MEHAFFEYBOARD MEMBER/OFFICER0%
Licensed Beds: 120
Bed Types:
Community Beds : 120
Sheltered Beds : 0
Pediatric Beds : 0
Private Rooms : 8
2-Bed Rooms : 56
3-Bed Rooms : 0
4-Bed Rooms : 0
AHCA Number (File Number): 55278
AHCA Field Office: 05
License Number: 1639096
Current License Effective: 8/7/2017
Expires: 9/30/2018
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $270.00
Occupancy/Occupancy Rate :  108 / 89.77%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Filipino, German, Other Language, Spanish
Payment Forms Accepted :  CHAMPUS/TRICARE, Insurance and/or HMO, Medicaid, Medicare, Workers Compensation
Special Programs and Services :  HIV Care, Hospice Care, Respite, Tracheotomy

Emergency Power Plan Summary:

Implementation Extended Until :  Jan 01, 2019

Legal Actions

Date InitiatedCase #Case TypeViolationFine AmountDate Imposed
10/31/2017 2017013371 Rule Variance/WaiverAdministrative Rule N/A 11/29/2017
01/06/2016 2016000133 FineSurvey $2,500.00 06/30/2016
01/06/2016 2016000133 Conditional LicenseSurvey N/A 06/30/2016
03/05/2013 2013002507 FineSurvey $2,250.00 08/29/2013
03/05/2013 2013002507 Conditional LicenseSurvey N/A 08/29/2013
12/04/2012 2012013105 FineApplication $5,000.00 01/18/2013
Change of ownership occurred 11/29/2012
04/12/2011 2011003822 FineSurvey $18,500.00 06/09/2011
04/12/2011 2011003824 Conditional LicenseSurvey N/A 03/04/2011
04/12/2011 2011003822 Six month survey cycleSurvey N/A 06/09/2011
07/16/2010 2010007287 FineLicensure $100.00 10/07/2010
Change of ownership occurred 3/14/2007
12/20/2006 2006011156 DeniedApplication N/A 05/14/2007
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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