Sovereign Healthcare Of Port St. Lucie, Llc in Port St Lucie - Skilled Nursing Facility
Sovereign Healthcare Of Port St. Lucie, Llc - NPI 1548257165
Sovereign Healthcare Of Port St. Lucie, Llc is a Skilled Nursing Facility in Port St Lucie, Florida. Sovereign Healthcare Of Port St. Lucie, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Sovereign Healthcare Of Port St. Lucie, Llc is 1548257165. The last update date is 2014-09-24.
Sovereign Healthcare Of Port St. Lucie, Llc's current location address is 1800 Se Hillmoor Dr, Port St Lucie, Florida. You can contact this provider via phone number 7723373565 and fax number 7723372989. The mailing address for Sovereign Healthcare Of Port St. Lucie, Llc is 1800 Se Hillmoor Dr, Port St Lucie, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sovereign Healthcare Of Port St. Lucie, Llc |
|---|---|
| Address | 1800 Se Hillmoor Dr, Port St Lucie, Florida |
| Phone Number | 7723373565 |
| Fax Number | 7723372989 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Cronquist Mark R. |
| Telephone Number | 4045742100 |
NPI Number Detail
| NPI Number | 1548257165 |
|---|---|
| Provider Enumeration Date | 2005-09-29 |
| Last Updated Date | 2014-09-24 |
Provider Mailing Address Detail
| Address | 1800 Se Hillmoor Dr |
|---|---|
| City | Port St Lucie |
| State | Florida (FL) |
| Post Code | 349527542 |
| Phone Number | 7723373565 |
| Fax Number | 7723372989 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | SNF15590961 |
|
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 |
|---|---|---|---|
| 26353200 | FL | -- | |
| V548P-1065 | VA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Sovereign Healthcare Of Port St. Lucie, Llc by the Centers for Medicare & Medicaid Services?
The Sovereign Healthcare Of Port St. Lucie, Llc has been issued the NPI (National Provider Identifier) 1548257165 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Sovereign Healthcare Of Port St. Lucie, Llc is physically located?
The Sovereign Healthcare Of Port St. Lucie, Llc is physically situated at the following address: 1800 Se Hillmoor Dr, Port St Lucie, FL, 349527542.
What is the Sovereign Healthcare Of Port St. Lucie, Llc's specialty and taxonomy code?
The Sovereign Healthcare Of Port St. Lucie, Llc's specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1548257165 to Sovereign Healthcare Of Port St. Lucie, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1548257165 to Sovereign Healthcare Of Port St. Lucie, Llc on 2005-09-29.
When was the information related to Sovereign Healthcare Of Port St. Lucie, Llc most recently updated or refreshed?
The details pertaining to the Sovereign Healthcare Of Port St. Lucie, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-09-24.
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