Provider Profile
THE ADDISON OF PORT ORANGE
Assisted Living Facility
FACILITY PROFILE
Street Address
- 812 AIRPORT RD
PORT ORANGE, FL 32128
County: Volusia - Phone: (386) 888-6565
Mailing Address
- 14755 PRESTON ROAD SUITE 810
DALLAS, TX 75254
County: - Phone: (972) 770-5600
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Facility Information:
| Facility/Provider Type: | Assisted Living Facility | ||||||||||||||||||
| Administrator: | BARI HERSCKOWITZ | ||||||||||||||||||
| Financial Officer: | DONNA BROWN | ||||||||||||||||||
| Owner/Licensee: | SONIDA PORT ORANGE, LLC | ||||||||||||||||||
| Owner/Licensee Since: | 10/1/2024 | ||||||||||||||||||
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| Profit Status: | For-Profit | ||||||||||||||||||
| Management Company: | CAPITAL SENIOR LIVING INC. | ||||||||||||||||||
| Manager Since: | 10/1/2024 | ||||||||||||||||||
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| Licensed Beds: | 80 | ||||||||||||||||||
| Bed Types: | Optional State Supplement: 0 Private: 80 Total Capacity: 80 Extended Congregate Care: 0 | ||||||||||||||||||
| AHCA Number (File Number): | 11969495 | ||||||||||||||||||
| AHCA Field Office: | 04 | ||||||||||||||||||
| License Number: | 13283 | ||||||||||||||||||
| Current License Effective: | 10/1/2024 | ||||||||||||||||||
| Current License Expires: | 9/30/2025 | ||||||||||||||||||
| License Status: | PROVISIONAL | ||||||||||||||||||
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Services/Characteristics
| Activities: | Arts and CraftsCooking ClassesDancingExercise ClassesGames/CardsGardeningMusic ProgramsShoppingSocial Events/OutingsTheater and Movies |
| Bed Hold Policy: | Facility will hold beds during a temporary absence |
| Adult Day Care Services: | Yes |
| Continuing Care Retirement Community: | No |
| Languages Spoken: | EnglishSpanish |
| Nurse Availability: | Direct 24hr |
| Payment Forms Accepted: | Other |
| Special Programs and Services: | Memory Care |
Emergency Power Plan Summary
| Onsite Alternate Power Source: | Portable Generator |
| Emergency Power Supports: | Air ConditioningLife Safety SystemsRefrigeration |
| Plan Approval: | 2/7/2019 |
| Implementation Date: | 10/18/2018 |
| Cooling Method: | Air Conditioner |
| Areas Cooled: | Common AreasDining RoomHallwayLiving room |
| Square Footage Cooled: | 7107 |
| Number of People to use Cooled Space: | 92 |
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| Change of ownership occurred 10/1/2024 | |||||
| 10/14/2021 | 2021014558 | Fine | Survey | $1,000.00 | 1/31/2022 |
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.