Organization
SOVEREIGN HEALTHCARE OF PALMETTO, LLC
Active
Other names
Riviera Palms Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. R. MARK CRONQUIST (MANAGER)
(404) 574-2100
Entity
Organization
Contact information
Practice address
926 HABEN BLVD, PALMETTO, FL 34221-4142
(941) 722-0553
(941) 723-9309
Mailing address
5887 GLENRIDGE DR, SUITE 150, ATLANTA, GA 30328-5574
(404) 574-2100
(404) 574-2105
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF14610962
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026345100
—
FL
01
—
V516P-6823
VA
—
Enumeration date
09/29/2005
Last updated
09/24/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us