Palm City Nursing And Rehab Center

LBN: Sovereign Healthcare Of Palm City, Llc
Palm City Nursing And Rehab Center is an health care organization with primary practice located at 2505 Sw Martin Hwy , Palm City FL 34990-3149. 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 Palm City, Llc can be contacted via phone (772) 288-0060, or through Cronquist, R. Mark via phone (404) 574-2100.

Contact Information

Primary practice address
2505 Sw Martin Hwy Palm City FL 34990-3149
Phone: (772) 288-0060
Fax: (772) 288-3218
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 SNF14630961 Florida

Profile Details

NPI number 1053308775
LBN Legal business name Sovereign Healthcare Of Palm City, Llc
DBA Doing business as Palm City Nursing And Rehab Center
Authorized official Cronquist, R. Mark
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2005
Last updated Oct 7th, 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 1053308775 NPPES
Florida MEDICAID 026362100
Florida Other V548P-1071

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