Sovereign Healthcare Of Orange City, Llc in Atlanta - Skilled Nursing Facility

Sovereign Healthcare Of Orange City, Llc - NPI 1285621987

Sovereign Healthcare Of Orange City, Llc is a Skilled Nursing Facility in Atlanta, Georgia. Sovereign Healthcare Of Orange City, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Sovereign Healthcare Of Orange City, Llc is 1285621987. The last update date is 2014-09-24.

Sovereign Healthcare Of Orange City, Llc's current location address is 5887 Glenridge Dr, Atlanta, Georgia. You can contact this provider via phone number 4045742100 and fax number 4045742105. The mailing address for Sovereign Healthcare Of Orange City, Llc is 5887 Glenridge Dr, Atlanta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Sovereign Healthcare Of Orange City, Llc
Address 5887 Glenridge Dr, Atlanta, Georgia
Phone Number 4045742100
Fax Number 4045742105
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGER
Authorized Official Name Cronquist Mark R.
Telephone Number 4045742100

NPI Number Detail

NPI Number 1285621987
Provider Enumeration Date 2005-09-29
Last Updated Date 2014-09-24

Provider Mailing Address Detail

Address 5887 Glenridge Dr
City Atlanta
State Georgia (GA)
Post Code 303285574
Phone Number 4045742100
Fax Number 4045742105

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No SNF1464096
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
26356700 FL --
V573P-6387 VA

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FAQs about Sovereign Healthcare Of Orange City, Llc

What is the unique identifier code issued to Sovereign Healthcare Of Orange City, Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Sovereign Healthcare Of Orange City, Llc has been assigned the NPI (National Provider Identifier) 1285621987. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Sovereign Healthcare Of Orange City, Llc's facilities are geographically located?

The facilities of Sovereign Healthcare Of Orange City, Llc are physically situated at the following location: 5887 Glenridge Dr, Atlanta, GA, 303285574.

What is Sovereign Healthcare Of Orange City, Llc's area of expertise and its corresponding taxonomy classification?

The Sovereign Healthcare Of Orange City, Llc's field of specialization is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1285621987 to Sovereign Healthcare Of Orange City, Llc?

The Centers for Medicare & Medicaid Services originally issued the 1285621987 to Sovereign Healthcare Of Orange City, Llc on 2005-09-29.

When was the information regarding Sovereign Healthcare Of Orange City, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Sovereign Healthcare Of Orange City, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-09-24.

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