Search icon

SOVEREIGN HEALTHCARE OF ST. AUGUSTINE, LLC - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: SOVEREIGN HEALTHCARE OF ST. AUGUSTINE, 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: M03000002340
FEI/EIN Number 200185176

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

Mail Address: 101 Sunnytown Road, Casselberry, FL, 32707, US
Address: 200 Mariner Health Way, St. Augustine, FL, 32086, US
ZIP code: 32086
County: St. Johns
Place of Formation: DELAWARE

Key Officers & Management

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

National Provider Identifier

NPI Number:
1538156195

Authorized Person:

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

Taxonomy:

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

Contacts:

Fax:
4045742105
Fax:
9047971803

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G09048900148 MOULTRIE CREEK NURSING AND REHAB CENTER ACTIVE 2009-02-17 2029-12-31 - 200 MARINER HEALTH WAY, ST. AUGUSTINE, FL, 32086

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2017-03-30 200 Mariner Health Way, St. Augustine, FL 32086 -
REGISTERED AGENT ADDRESS CHANGED 2015-07-07 115 North Calhoun St., Suite 4, Tallahassee, FL 32301 -
CHANGE OF MAILING ADDRESS 2014-01-10 200 Mariner Health Way, St. Augustine, FL 32086 -

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-03-09
ANNUAL REPORT 2022-02-24
ANNUAL REPORT 2021-03-18
ANNUAL REPORT 2020-04-14
ANNUAL REPORT 2019-03-21
ANNUAL REPORT 2018-04-27
ANNUAL REPORT 2017-03-30
ANNUAL REPORT 2016-03-30
ANNUAL REPORT 2015-01-09

USAspending Awards / Contracts

Procurement Instrument Identifier:
VA24812JN033
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
146347.75
Base And Exercised Options Value:
280539.75
Base And All Options Value:
280539.75
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2012-09-28
Description:
IGF::CL::IGF CLOSELY ASSOCIATED COMMUNITY NURSING HOME BOA DO TO REPORT FY-12 1358 OBLIGATIONS TO FPDS.
Naics Code:
623110: NURSING CARE FACILITIES
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
VA573B0035
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
68386.00
Base And Exercised Options Value:
68386.00
Base And All Options Value:
68386.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2010-08-01
Description:
NURSING HOME CARE
Naics Code:
623110: NURSING CARE FACILITIES
Product Or Service Code:
Q402: NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
VA573AB0002
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
65806.00
Base And Exercised Options Value:
65806.00
Base And All Options Value:
65806.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2009-12-31
Description:
MOULTRIE CREEK NURSING HOME CARE 1ST QTR FY 2010
Naics Code:
623110: NURSING CARE FACILITIES
Product Or Service Code:
Q402: NURSING HOME CARE CONTRACTS

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 01 Jun 2025

Sources: Florida Department of State