Sovereign Healthcare of St. Augustine, LLC
NPI 1538156195 · Skilled Nursing Facility · St Augustine, FL
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sovereign Healthcare of St. Augustine, LLC is a Skilled Nursing Facility organization in St Augustine, FL (NPI 1538156195).
Provider details
- NPI number
- 1538156195
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- R. Cronquist, Manager(404) 574-2100
- License
- SNF14600961 (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
- Moultrie Creek Nursing & Rehab Center
Registry dates
- Enumerated
- 2005-09-29
- Last updated
- 2014-09-24
Frequently asked questions
- What is Sovereign Healthcare of St. Augustine, LLC's NPI number?
- Sovereign Healthcare of St. Augustine, LLC's National Provider Identifier (NPI) is 1538156195, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sovereign Healthcare of St. Augustine, LLC?
- Sovereign Healthcare of St. Augustine, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Sovereign Healthcare of St. Augustine, LLC located?
- Sovereign Healthcare of St. Augustine, LLC's practice location on file with NPPES is 200 Mariner Health Way, St Augustine, FL 32086-7226.
- What is Sovereign Healthcare of St. Augustine, LLC's phone number?
- The practice phone number listed in the NPPES registry for Sovereign Healthcare of St. Augustine, LLC is (904) 797-1800.
- Does Sovereign Healthcare of St. Augustine, LLC accept Medicare?
- Sovereign Healthcare of St. Augustine, 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 St. Augustine, LLC?
- The authorized official listed on Sovereign Healthcare of St. Augustine, 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 St. Augustine, LLC's NPI active?
- Yes — Sovereign Healthcare of St. Augustine, LLC's NPI (1538156195) 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.