Riviera Palms Rehabilitation Center

LBN: Sovereign Healthcare Of Palmetto, Llc
Riviera Palms Rehabilitation Center is an health care organization with primary practice located at 926 Haben Blvd , Palmetto FL 34221-4142. 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 Palmetto, Llc can be contacted via phone (941) 722-0553, or through Cronquist, R. Mark via phone (404) 574-2100.

Contact Information

Primary practice address
926 Haben Blvd Palmetto FL 34221-4142
Fax: (941) 723-9309
Website:
Authorized official contact:
Name: Cronquist, R. Mark

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF14610962 Florida

Profile Details

NPI number 1063409605
LBN Legal business name Sovereign Healthcare Of Palmetto, Llc
DBA Doing business as Riviera Palms Rehabilitation Center
Authorized official Cronquist, R. Mark
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2005
Last updated Sep 24th, 2014 - about 8 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 1063409605 NPPES
Other V516P-6823 VA
MEDICAID 026345100 VA

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