Sovereign Healthcare Of Tampa, Llc in Tampa - Skilled Nursing Facility
Sovereign Healthcare Of Tampa, Llc - NPI 1932196508
Sovereign Healthcare Of Tampa, Llc is a Skilled Nursing Facility in Tampa, Florida. Sovereign Healthcare Of Tampa, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Sovereign Healthcare Of Tampa, Llc is 1932196508. The last update date is 2014-09-24.
Sovereign Healthcare Of Tampa, Llc's current location address is 3117 W Gandy Blvd, Tampa, Florida. You can contact this provider via phone number 8132615500 and fax number 8132615555. The mailing address for Sovereign Healthcare Of Tampa, Llc is 3117 W Gandy Blvd, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sovereign Healthcare Of Tampa, Llc |
|---|---|
| Address | 3117 W Gandy Blvd, Tampa, Florida |
| Phone Number | 8132615500 |
| Fax Number | 8132615555 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Cronquist Mark R. |
| Telephone Number | 4045742100 |
NPI Number Detail
| NPI Number | 1932196508 |
|---|---|
| Provider Enumeration Date | 2005-09-29 |
| Last Updated Date | 2014-09-24 |
Provider Mailing Address Detail
| Address | 3117 W Gandy Blvd |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336112927 |
| Phone Number | 8132615500 |
| Fax Number | 8132615555 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | SNF10410962 |
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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 |
|---|---|---|---|
| 26357500 | FL | -- | |
| V673P-5341 | VA |
Post Comment/ Review Below
What is the unique identification code assigned to Sovereign Healthcare Of Tampa, Llc by the Centers for Medicare & Medicaid Services?
The Sovereign Healthcare Of Tampa, Llc has been issued the NPI (National Provider Identifier) 1932196508. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Sovereign Healthcare Of Tampa, Llc is physically located?
The Sovereign Healthcare Of Tampa, Llc is physically situated at the following address: 3117 W Gandy Blvd, Tampa, FL, 336112927.
What is the Sovereign Healthcare Of Tampa, Llc's area of specialization and corresponding taxonomy classification?
The Sovereign Healthcare Of Tampa, Llc's specialty field is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their specialties.
When did Sovereign Healthcare Of Tampa, Llc receive its 1932196508 assignment?
The Sovereign Healthcare Of Tampa, Llc was assigned its 1932196508 on 2005-09-29, which is the date when this unique identifier was issued to the organization.
When was the information regarding Sovereign Healthcare Of Tampa, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Sovereign Healthcare Of Tampa, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-09-24.