Sovereign Healthcare Of Port Orange, Llc

  • 1710974423 NPI Number
  • |
  • Actived: 18 years ago
  • |
Sovereign Healthcare Of Port Orange, Llc is a health care provider based in Port Orange, FL. The NPI Number is 1710974423 and it has been active since 18 years ago. The specialty is Skilled Nursing Facility, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Skilled Nursing Facility services, Sovereign Healthcare Of Port Orange, Llc is an excellent option. We are here to help you get the care you need.

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Overview of Sovereign Healthcare Of Port Orange, Llc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 09/29/2005
  • Last updated: 09/24/2014

Primary Scrop of Practice

  • Taxonomy Code: 314000000X
  • Specialty: Skilled Nursing Facility
  • License Number: SNF130471000
  • License State: FL

Provider Mailing Address

  • Address: 5887 Glenridge Dr
    Suite 150
    Atlanta, GA 30328
  • Phone: 404-574-2100
  • Fax: 404-574-2105

Provider Practice Location

  • Address: 5600 Victoria Gardens Blvd
    Port Orange, FL 32127
  • Phone: 386-760-7773
  • Fax: 386-760-8949

Authorized Official

  • Name: MR. R. Mark Cronquist
  • Position/Title: Manager
  • Telephone Number: 404-574-2100

Scope of Practice

  • Taxonomy Code: 314000000X
  • Specialty: Skilled Nursing Facility
  • License Number: SNF1304710
  • License State: FL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 026350800
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: FL
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Sovereign Healthcare Of Port Orange, Llc?
  • A: The npi number for Sovereign Healthcare Of Port Orange, Llc is 1710974423.
  • Q: What are Sovereign Healthcare Of Port Orange, Llc's specialties?
  • A: Sovereign Healthcare Of Port Orange, Llc's specialties are Skilled Nursing Facility and different specialities.
  • Q: Where is Sovereign Healthcare Of Port Orange, Llc business practice location?
  • A: Sovereign Healthcare Of Port Orange, Llc business practice location is 5600 Victoria Gardens Blvd, Port Orange, FL 32127.
  • Q: How to contact Sovereign Healthcare Of Port Orange, Llc?
  • A: You can contact Sovereign Healthcare Of Port Orange, Llc via 386-760-7773.
  • Q: What is the authorized official for Sovereign Healthcare Of Port Orange, Llc?
  • A: The authorized office name is MR. R. Mark Cronquist with position/title is Manager and you can reach the authorized official via phone number 4045742100.
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