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SOVEREIGN HEALTHCARE OF WEST PALM BEACH, LLC - Florida Company Profile

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Company Details

Entity Name: SOVEREIGN HEALTHCARE OF WEST PALM BEACH, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 15 Jul 2003 (22 years ago)
Document Number: M03000002335
FEI/EIN Number 200184869

Federal Employer Identification (FEI) Number assigned by the IRS.

Mail Address: 101 Sunnytown Road, Casselberry, FL, 32707, US
Address: 2839 S. Seacrest Boulevard, Boynton Beach, FL, 33435, US
ZIP code: 33435
County: Palm Beach
Place of Formation: DELAWARE

Key Officers & Management

Name Role
COGENCY GLOBAL INC. Agent
SOUTHERN HEALTHCARE MANAGEMENT, LLC Manager

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

CAGE Code:
3ZPW6
UEI Expiration Date:
2017-02-06

Business Information

Doing Business As:
BOULEVARD REHABILITATION CENTER
Activation Date:
2016-02-07
Initial Registration Date:
2004-08-19

Commercial and government entity program

The The Commercial And Government Entity Code (CAGE) is assigned by the Department of Defense's Defense Logistics Agency (DLA) and represents your company's physical address for GSA's mailings, payments, and administrative records.

Note: A CAGE Code enables a company to contract with the U.S. government, allowing bid on government contracts and to receive government payments. Also for business this means that it's a Verified business entity and Has a validated physical address.

CAGE number:
3ZPW6
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2022-02-05
CAGE Expiration:
2022-02-04

Contact Information

POC:
DONALD MELTON

National Provider Identifier

NPI Number:
1487641189

Authorized Person:

Name:
MR. R. MARK CRONQUIST
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fax:
4045742105
Fax:
5613698309

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000011695 BOULEVARD REHABILITATION CENTER ACTIVE 2010-02-05 2025-12-31 - 101 SUNNYTOWN RD, SUITE 201, CASSELBERRY, FL, 32707, US
G09048900142 BOULEVARD MANOR NURSING AND REHAB CENTER EXPIRED 2009-02-17 2024-12-31 - 2839 S. SEACREST BOULEVARD, BOYNTON BEACH, FL, 33435

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2017-04-05 2839 S. Seacrest Boulevard, Boynton Beach, FL 33435 -
REGISTERED AGENT ADDRESS CHANGED 2015-07-07 115 North Calhoun St., Suite 4, Tallahassee, FL 32301 -
CHANGE OF MAILING ADDRESS 2014-01-14 2839 S. Seacrest Boulevard, Boynton Beach, FL 33435 -

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-03-07
ANNUAL REPORT 2022-02-22
ANNUAL REPORT 2021-03-15
ANNUAL REPORT 2020-04-13
ANNUAL REPORT 2019-03-20
ANNUAL REPORT 2018-04-27
AMENDED ANNUAL REPORT 2017-04-05
ANNUAL REPORT 2017-03-10
ANNUAL REPORT 2016-03-25

USAspending Awards / Contracts

Procurement Instrument Identifier:
VA24812JW009
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
2340.59
Base And Exercised Options Value:
2340.59
Base And All Options Value:
2340.59
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2012-09-28
Description:
IGF::OT::IGF OTHER FUNCTIONS: NURSING HOME SERVICES
Naics Code:
623110: NURSING CARE FACILITIES
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
VA248BO0109
Award Or Idv Flag:
IDV
Action Obligation:
0.00
Base And Exercised Options Value:
0.00
Base And All Options Value:
0.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2009-03-15
Description:
NURSING HOME CONTRACT
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: NURSING HOME CARE CONTRACTS

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Date of last update: 02 Jul 2025

Sources: Florida Department of State