NPI
Sovereign Healthcare of St. Augustine, LLC
Doing business as Moultrie Creek Nursing & Rehab Center. NPI 1538156195
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2005-09-29
- Last updated
- 2014-09-24
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Specialties
Licenses
- License FL
- SNF14600961
Location
- Practice location
- 200 Mariner Health Way
- City
- St Augustine FL
- Postal code
- 32086-7226
- Phone
- (904) 797-1800
Organization contact
- Name
- R. Cronquist
- Title
- Manager
- Phone
- (404) 574-2100
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in St Augustine, FL. 2,624 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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