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SOVEREIGN HEALTHCARE OF JACKSONVILLE, LLC - Florida Company Profile

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Company Details

Entity Name: SOVEREIGN HEALTHCARE OF JACKSONVILLE, 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: M03000002341
FEI/EIN Number 200185133

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

Mail Address: 101 Sunnytown Road, Casselberry, FL, 32707, US
Address: 4134 Dunn Avenue, Jacksonville, FL, 32218, US
ZIP code: 32218
County: Duval
Place of Formation: DELAWARE

Key Officers & Management

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

National Provider Identifier

NPI Number:
1891782462

Authorized Person:

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

Taxonomy:

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

Contacts:

Fax:
4045742105
Fax:
9047669166

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G09048900144 JACKSONVILLE NURSING AND REHAB CENTER ACTIVE 2009-02-17 2029-12-31 - 4134 DUNN AVENUE, JACKSONVILLE, FL, 32218

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2017-03-30 4134 Dunn Avenue, Jacksonville, FL 32218 -
REGISTERED AGENT ADDRESS CHANGED 2015-07-07 115 North Calhoun St., Suite 4, Tallahassee, FL 32301 -
CHANGE OF MAILING ADDRESS 2014-01-14 4134 Dunn Avenue, Jacksonville, FL 32218 -

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:
VA24812JN035
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
156390.48
Base And Exercised Options Value:
263169.48
Base And All Options Value:
600000.00
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 JACKSONVILLE NURSING&REHAB CTR
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:
DO
Action Obligation:
66301.00
Base And Exercised Options Value:
66302.00
Base And All Options Value:
66302.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2010-09-30
Description:
COMMUNITY NURSING HOME
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
VA248BO0147
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:
2010-09-30
Description:
COMMUNITY NURSING HOME
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: 01 Jun 2025

Sources: Florida Department of State