Sovereign Healthcare Of St. Augustine, Llc in St Augustine - Skilled Nursing Facility
Sovereign Healthcare Of St. Augustine, Llc - NPI 1538156195
Sovereign Healthcare Of St. Augustine, Llc is a Skilled Nursing Facility in St Augustine, Florida. Sovereign Healthcare Of St. Augustine, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Sovereign Healthcare Of St. Augustine, Llc is 1538156195. The last update date is 2014-09-24.
Sovereign Healthcare Of St. Augustine, Llc's current location address is 200 Mariner Health Way, St Augustine, Florida. You can contact this provider via phone number 9047971800 and fax number 9047971803. The mailing address for Sovereign Healthcare Of St. Augustine, Llc is 200 Mariner Health Way, St Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sovereign Healthcare Of St. Augustine, Llc |
|---|---|
| Address | 200 Mariner Health Way, St Augustine, Florida |
| Phone Number | 9047971800 |
| Fax Number | 9047971803 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Cronquist Mark R. |
| Telephone Number | 4045742100 |
NPI Number Detail
| NPI Number | 1538156195 |
|---|---|
| Provider Enumeration Date | 2005-09-29 |
| Last Updated Date | 2014-09-24 |
Provider Mailing Address Detail
| Address | 200 Mariner Health Way |
|---|---|
| City | St Augustine |
| State | Florida (FL) |
| Post Code | 320867226 |
| Phone Number | 9047971800 |
| Fax Number | 9047971803 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | SNF14600961 |
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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 |
|---|---|---|---|
| 26355900 | FL | -- | |
| V573P-6391 | VA |
Post Comment/ Review Below
What is the Sovereign Healthcare Of St. Augustine, Llc's unique identification number?
The Sovereign Healthcare Of St. Augustine, Llc has been assigned the NPI (National Provider Identifier) Number 1538156195 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Sovereign Healthcare Of St. Augustine, Llc is geographically located?
The Sovereign Healthcare Of St. Augustine, Llc is physically situated at the following location: 200 Mariner Health Way, St Augustine, FL, 320867226.
What is the area of specialization for Sovereign Healthcare Of St. Augustine, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Sovereign Healthcare Of St. Augustine, Llc is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of expertise is 314000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1538156195 to Sovereign Healthcare Of St. Augustine, Llc?
The Sovereign Healthcare Of St. Augustine, Llc received its 1538156195 assignment from the Centers for Medicare & Medicaid Services on 2005-09-29.
As of what date were the details pertaining to Sovereign Healthcare Of St. Augustine, Llc last refreshed?
The information related to the Sovereign Healthcare Of St. Augustine, Llc, including its address, specialty, and other relevant details, was last updated on 2014-09-24.
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