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Sovereign Healthcare Of Macclenny, Llc
Skilled Nursing Facility in Macclenny, Florida
NPI 1720075351

Sovereign Healthcare Of Macclenny, Llc is a Skilled Nursing Facility based in Atlanta, FL. Sovereign Healthcare Of Macclenny, Llc practices in Macclenny, FL. The NPI Number for Sovereign Healthcare Of Macclenny, Llc is 1720075351 and holds a License No. SNF1222096 (Florida).

The current practice location address for Sovereign Healthcare Of Macclenny, Llc is 755 S 5Th St, Macclenny, FL and can be reached out via phone at 904-259-4873 and via fax at 904-259-5381.

Location: 755 S 5Th St, Macclenny, FL, 30328-5574
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720075351
Provider Name
Sovereign Healthcare Of Macclenny, Llc
Credential
Provider Entity Type
Organization
Address
755 S 5Th St, Macclenny, FL, 30328-5574
Phone Number
904-259-4873
Fax Number
904-259-5381
Provider Enumeration Date
09/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
V573P-6392 01 VA
026351600 05 FL
institution
Provider Business Practice Location Address Details
Address
755 S 5Th St
City
Macclenny
State
Florida
Zip
32063-2685
Phone Number
904-259-4873
Fax Number
904-259-5381
person
Provider Business Mailing Address Details
Address
755 S 5Th St
City
Macclenny
State
Florida
Zip
32063-2685
Phone Number
904-259-4873
Fax Number
904-259-5381
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
SNF1222096 (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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