Sovereign Healthcare Of Jacksonville, Llc in Jacksonville - Skilled Nursing Facility
Sovereign Healthcare Of Jacksonville, Llc - NPI 1891782462
Sovereign Healthcare Of Jacksonville, Llc is a Skilled Nursing Facility in Jacksonville, Florida. Sovereign Healthcare Of Jacksonville, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Sovereign Healthcare Of Jacksonville, Llc is 1891782462. The last update date is 2014-09-24.
Sovereign Healthcare Of Jacksonville, Llc's current location address is 4134 Dunn Ave, Jacksonville, Florida. You can contact this provider via phone number 9047662297 and fax number 9047669166. The mailing address for Sovereign Healthcare Of Jacksonville, Llc is 4134 Dunn Ave, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sovereign Healthcare Of Jacksonville, Llc |
|---|---|
| Address | 4134 Dunn Ave, Jacksonville, Florida |
| Phone Number | 9047662297 |
| Fax Number | 9047669166 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Cronquist Mark R. |
| Telephone Number | 4045742100 |
NPI Number Detail
| NPI Number | 1891782462 |
|---|---|
| Provider Enumeration Date | 2005-09-29 |
| Last Updated Date | 2014-09-24 |
Provider Mailing Address Detail
| Address | 4134 Dunn Ave |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322184410 |
| Phone Number | 9047662297 |
| Fax Number | 9047669166 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | SNF13500963 |
|
Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| V573P-6380 | VA | ||
| 26349400 | FL | -- |
Post Comment/ Review Below
What is the Sovereign Healthcare Of Jacksonville, Llc's unique identification number?
The Sovereign Healthcare Of Jacksonville, Llc has been assigned the NPI (National Provider Identifier) Number 1891782462 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Sovereign Healthcare Of Jacksonville, Llc?
The Sovereign Healthcare Of Jacksonville, Llc is physically situated at 4134 Dunn Ave, in the city of Jacksonville, state of FL, with the postal code 322184410.
What is Sovereign Healthcare Of Jacksonville, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Sovereign Healthcare Of Jacksonville, Llc's specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.
On what date did the Sovereign Healthcare Of Jacksonville, Llc receive the assignment of its 1891782462 from the Centers for Medicare & Medicaid Services?
The Sovereign Healthcare Of Jacksonville, Llc was issued its 1891782462 by the Centers for Medicare & Medicaid Services on 2005-09-29.
When was the information pertaining to Sovereign Healthcare Of Jacksonville, Llc most recently updated or revised?
The details related to Sovereign Healthcare Of Jacksonville, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2014-09-24.
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