Sovereign Healthcare Of Palmetto, Llc in Palmetto - Skilled Nursing Facility
Sovereign Healthcare Of Palmetto, Llc - NPI 1063409605
Sovereign Healthcare Of Palmetto, Llc is a Skilled Nursing Facility in Palmetto, Florida. Sovereign Healthcare Of Palmetto, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Sovereign Healthcare Of Palmetto, Llc is 1063409605. The last update date is 2014-09-24.
Sovereign Healthcare Of Palmetto, Llc's current location address is 926 Haben Blvd, Palmetto, Florida. You can contact this provider via phone number 9417220553 and fax number 9417239309. The mailing address for Sovereign Healthcare Of Palmetto, Llc is 926 Haben Blvd, Palmetto, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sovereign Healthcare Of Palmetto, Llc |
|---|---|
| Address | 926 Haben Blvd, Palmetto, Florida |
| Phone Number | 9417220553 |
| Fax Number | 9417239309 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Cronquist Mark R. |
| Telephone Number | 4045742100 |
NPI Number Detail
| NPI Number | 1063409605 |
|---|---|
| Provider Enumeration Date | 2005-09-29 |
| Last Updated Date | 2014-09-24 |
Provider Mailing Address Detail
| Address | 926 Haben Blvd |
|---|---|
| City | Palmetto |
| State | Florida (FL) |
| Post Code | 342214142 |
| Phone Number | 9417220553 |
| Fax Number | 9417239309 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | SNF14610962 |
|
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 |
|---|---|---|---|
| 26345100 | FL | -- | |
| V516P-6823 | VA |
Post Comment/ Review Below
What is the unique identification code assigned to Sovereign Healthcare Of Palmetto, Llc by the Centers for Medicare & Medicaid Services?
The Sovereign Healthcare Of Palmetto, Llc has been issued the NPI (National Provider Identifier) 1063409605. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Sovereign Healthcare Of Palmetto, Llc's facilities are geographically located?
The facilities of Sovereign Healthcare Of Palmetto, Llc are physically situated at the following location: 926 Haben Blvd, Palmetto, FL, 342214142.
What is Sovereign Healthcare Of Palmetto, Llc's area of expertise and its corresponding taxonomy classification?
The Sovereign Healthcare Of Palmetto, 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 assign the 1063409605 to Sovereign Healthcare Of Palmetto, Llc?
The Centers for Medicare & Medicaid Services assigned the 1063409605 to Sovereign Healthcare Of Palmetto, Llc on 2005-09-29.
When was the information related to Sovereign Healthcare Of Palmetto, Llc most recently updated or refreshed?
The details pertaining to the Sovereign Healthcare Of Palmetto, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-09-24.