Sovereign Healthcare of Port Orange, LLC
NPI 1710974423 · Skilled Nursing Facility · Port Orange, FL
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sovereign Healthcare of Port Orange, LLC is a Skilled Nursing Facility organization in Port Orange, FL (NPI 1710974423).
Provider details
- NPI number
- 1710974423
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- R. Cronquist, Manager(404) 574-2100
- License
- SNF130471000 (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
- Port Orange Nursing & Rehab Center
Registry dates
- Enumerated
- 2005-09-29
- Last updated
- 2014-09-24
Frequently asked questions
- What is Sovereign Healthcare of Port Orange, LLC's NPI number?
- Sovereign Healthcare of Port Orange, LLC's National Provider Identifier (NPI) is 1710974423, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sovereign Healthcare of Port Orange, LLC?
- Sovereign Healthcare of Port Orange, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Sovereign Healthcare of Port Orange, LLC located?
- Sovereign Healthcare of Port Orange, LLC's practice location on file with NPPES is 5600 Victoria Gardens Blvd, Port Orange, FL 32127-7914.
- What is Sovereign Healthcare of Port Orange, LLC's phone number?
- The practice phone number listed in the NPPES registry for Sovereign Healthcare of Port Orange, LLC is (386) 760-7773.
- Does Sovereign Healthcare of Port Orange, LLC accept Medicare?
- Sovereign Healthcare of Port Orange, 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 Port Orange, LLC?
- The authorized official listed on Sovereign Healthcare of Port Orange, 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 Port Orange, LLC's NPI active?
- Yes — Sovereign Healthcare of Port Orange, LLC's NPI (1710974423) 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.