Search icon

SOVEREIGN HEALTHCARE OF PORT ORANGE, LLC - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: SOVEREIGN HEALTHCARE OF PORT ORANGE, 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: M03000002338
FEI/EIN Number 200186136

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

Mail Address: 101 Sunnytown Road, Casselberry, FL, 32707, US
Address: 5600 Victoria Gardens Blvd., Port Orange, FL, 32127, US
ZIP code: 32127
City: Port Orange
County: Volusia
Place of Formation: DELAWARE

Key Officers & Management

Role
Agent
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:
3ZQJ0
UEI Expiration Date:
2018-02-04

Business Information

Doing Business As:
PORT ORANGE NURSING & REHAB CENTER
Division Name:
PORT ORANGE
Activation Date:
2017-02-04
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:
3ZQJ0
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2022-02-05
CAGE Expiration:
2022-02-04

Contact Information

POC:
DONALDDONALD K. MELTON

National Provider Identifier

NPI Number:
1710974423

Authorized Person:

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

Taxonomy:

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

Contacts:

Fax:
4045742105
Fax:
3867608949

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G09048900152 PORT ORANGE NURSING AND REHAB CENTER ACTIVE 2009-02-17 2029-12-31 - 5600 VICTORIA GARDENS BLVD., SUITE 201, PORT ORANGE, FL, 32127

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2017-03-30 5600 Victoria Gardens Blvd., Port Orange, FL 32127 -
REGISTERED AGENT ADDRESS CHANGED 2015-07-07 115 North Calhoun St., Suite 4, Tallahassee, FL 32301 -
CHANGE OF MAILING ADDRESS 2014-01-10 5600 Victoria Gardens Blvd., Port Orange, FL 32127 -

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-03-08
ANNUAL REPORT 2022-02-18
ANNUAL REPORT 2021-03-15
ANNUAL REPORT 2020-04-13
ANNUAL REPORT 2019-03-21
ANNUAL REPORT 2018-04-27
ANNUAL REPORT 2017-03-30
ANNUAL REPORT 2016-03-25
ANNUAL REPORT 2015-01-14

OSHA's Inspections within Industry

Inspection Summary

Date:
2021-08-17
Type:
Referral
Address:
5600 VICTORIA GARDENS BLVD, PORT ORANGE, FL, 32127
Safety Health:
Health
Scope:
Partial

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 03 Jul 2025

Sources: Florida Department of State