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Sovereign Healthcare Of Port St. Lucie, Llc
Skilled Nursing Facility in Port St Lucie, Florida
NPI 1548257165

Sovereign Healthcare Of Port St. Lucie, Llc is a Skilled Nursing Facility based in Atlanta, FL. Sovereign Healthcare Of Port St. Lucie, Llc practices in Port St Lucie, FL. The NPI Number for Sovereign Healthcare Of Port St. Lucie, Llc is 1548257165 and holds a License No. SNF15590961 (Florida).

The current practice location address for Sovereign Healthcare Of Port St. Lucie, Llc is 1800 Se Hillmoor Dr, Port St Lucie, FL and can be reached out via phone at 772-337-3565 and via fax at 772-337-2989.

Location: 1800 Se Hillmoor Dr, Port St Lucie, FL, 30328-5574
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548257165
Provider Name
Sovereign Healthcare Of Port St. Lucie, Llc
Credential
Provider Entity Type
Organization
Address
1800 Se Hillmoor Dr, Port St Lucie, FL, 30328-5574
Phone Number
772-337-3565
Fax Number
772-337-2989
Provider Enumeration Date
09/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
026353200 05 FL
V548P-1065 01 VA
institution
Provider Business Practice Location Address Details
Address
1800 Se Hillmoor Dr
City
Port St Lucie
State
Florida
Zip
34952-7542
Phone Number
772-337-3565
Fax Number
772-337-2989
person
Provider Business Mailing Address Details
Address
1800 Se Hillmoor Dr
City
Port St Lucie
State
Florida
Zip
34952-7542
Phone Number
772-337-3565
Fax Number
772-337-2989
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
SNF15590961 (Florida)
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 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.
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