NPI
Sovereign Healthcare of Jacksonville, LLC
Doing business as Jacksonville Nursing & Rehab Center. Phone (904) 766-2297 · Fax (904) 766-9166 · NPI 1891782462
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2005-09-29
- Last updated
- 2014-09-24
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Specialties
Licenses
- License FL
- SNF13500963
Location
- Practice location
- 4134 Dunn Ave
- City
- Jacksonville FL
- Postal code
- 32218-4410
- Phone
- (904) 766-2297
- Fax
- (904) 766-9166
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
Skilled Nursing Facility providers in Jacksonville, FL. 94 with this primary taxonomy in the public file.
Other NPIs in Jacksonville, FL. 31,483 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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