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701 VICTORIA ST
BRANDON, FL 33510-4100
Phone: (813) 681-4220
County: Hillsborough

Mailing Address

701 VICTORIA ST
BRANDON, FL 33510-4100
County: Hillsborough
Website: http://www.consulateheathcare.com

Emergency Actions:

None
Facility/Provider Type: Nursing Home
Administrator: LEE EDMISTER
Financial Officer: RUSSELL D RAGLAND JR
Owner/Licensee: BRANDON FACILITY OPERATIONS, LLC
Owner/Licensee Since: 1/1/2007
NamePositionOwnership
LV CHC HOLDINGS I, LLC 100%
KENNETH USSERYBOARD MEMBER/OFFICER0%
TODD B MEHAFFEYBOARD 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%
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 : 4
2-Bed Rooms : 58
3-Bed Rooms : 0
4-Bed Rooms : 0
AHCA Number (File Number): 62917
AHCA Field Office: 06
License Number: 1577096
Current License Effective: 10/1/2016
Expires: 9/30/2018
License Status: LICENSED

Compare Quality and/or Pricing:

Services/Characteristics:

Current Daily Rate ($) of Semi-Private Room :  $249.00
Occupancy/Occupancy Rate :  116 / 96.45%
Continuing Care Retirement Community :  No
Adult Day Care Services :  No
Languages Spoken :  Creole, Filipino, Spanish
Payment Forms Accepted :  Insurance and/or HMO, Medicaid, Medicare, Workers Compensation
Special Programs and Services :  Dialysis, HIV Care, Hospice Care, Tracheotomy, Weight Training

Legal Actions

Date ImposedCase #Case TypeViolationFine Amount
10/13/2015 2015012484 Conditional LicenseSurvey N/A
10/13/2015 2015012484 FineSurvey $2,500.00
01/18/2013 2012013074 FineApplication $5,000.00
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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