Metro West Nursing & Rehab Center

LBN: Sovereign Healthcare Of Metro West, Llc
Metro West Nursing & Rehab Center is an health care organization with primary practice located at 5900 Westgate Dr , Orlando FL 32835-2002. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Sovereign Healthcare Of Metro West, Llc can be contacted via phone (407) 296-8164, or through Cronquist, R. Mark via phone (404) 574-2100.

Contact Information

Primary practice address
5900 Westgate Dr Orlando FL 32835-2002
Phone: (407) 296-8164
Fax: (407) 447-4490
Website:
Map and Directions
Authorized official contact:
Name: Cronquist, R. Mark
Phone: (404) 574-2100

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF16240961 Florida

Profile Details

NPI number 1235126855
LBN Legal business name Sovereign Healthcare Of Metro West, Llc
DBA Doing business as Metro West Nursing & Rehab Center
Authorized official Cronquist, R. Mark
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2005
Last updated Sep 24th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235126855 NPPES
Other V673P-5336 VA
MEDICAID 026354100 VA

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