Sovereign Healthcare Of Port Orange, Llc, NPI 1710974423
Skilled Nursing Facility in Port Orange, FL, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1710974423 |
| NPI Entity Type | Organization |
| Provider Name |
Sovereign Healthcare Of Port Orange, Llc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 5600 Victoria Gardens Blvd, Port Orange, FL, US |
| Provider Mailing Address | 5887 Glenridge Dr, Suite 150, Atlanta, GA, US, 303285574 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. R. Mark Cronquist |
| Official Position | MANAGER |
| Phone | 404-574-2100 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Skilled Nursing Facility |
| Classification | |
| Group | |
| License No. | SNF130471000 |
| License State | FL |
| Description | (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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 026350800 | FL | MEDICAID | 05 |
| V573P-6386 | VA | 01 |
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