Sovereign Healthcare of Bonifay, LLC
NPI 1477540037 · Skilled Nursing Facility · Bonifay, FL
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sovereign Healthcare of Bonifay, LLC is a Skilled Nursing Facility organization in Bonifay, FL (NPI 1477540037).
Provider details
- NPI number
- 1477540037
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- R. Cronquist, Manager(404) 574-2100
- License
- SNF10570961 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Bonifay Nursing & Rehab Center
Registry dates
- Enumerated
- 2005-09-29
- Last updated
- 2014-09-24
Frequently asked questions
- What is Sovereign Healthcare of Bonifay, LLC's NPI number?
- Sovereign Healthcare of Bonifay, LLC's National Provider Identifier (NPI) is 1477540037, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sovereign Healthcare of Bonifay, LLC?
- Sovereign Healthcare of Bonifay, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Sovereign Healthcare of Bonifay, LLC located?
- Sovereign Healthcare of Bonifay, LLC's practice location on file with NPPES is 306 W Brock Ave, Bonifay, FL 32425-2904.
- What is Sovereign Healthcare of Bonifay, LLC's phone number?
- The practice phone number listed in the NPPES registry for Sovereign Healthcare of Bonifay, LLC is (850) 547-9289.
- Does Sovereign Healthcare of Bonifay, LLC accept Medicare?
- Sovereign Healthcare of Bonifay, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sovereign Healthcare of Bonifay, LLC?
- The authorized official listed on Sovereign Healthcare of Bonifay, LLC's NPPES record is R. Cronquist, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sovereign Healthcare of Bonifay, LLC's NPI active?
- Yes — Sovereign Healthcare of Bonifay, LLC's NPI (1477540037) is active in the NPPES registry as of the last update on 2014-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.