Search icon

SOVEREIGN HEALTHCARE OF MACCLENNY, LLC - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: SOVEREIGN HEALTHCARE OF MACCLENNY, 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: M03000002342
FEI/EIN Number 200185142

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

Mail Address: 101 Sunnytown Road, Casselberry, FL, 32707, US
Address: 755 South 5th Street, Macclenny, FL, 32063, US
ZIP code: 32063
City: Macclenny
County: Baker
Place of Formation: DELAWARE

Key Officers & Management

Role
Manager
Agent

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:
3ZQJ2
UEI Expiration Date:
2018-02-04

Business Information

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:
3ZQJ2
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2023-09-02
CAGE Expiration:
2022-02-04

Contact Information

POC:
DONALD K. MELTON

National Provider Identifier

NPI Number:
1720075351

Authorized Person:

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

Taxonomy:

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

Contacts:

Fax:
4045742105
Fax:
9042595381

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G09048900145 MACCLENNY NURSING AND REHAB CENTER ACTIVE 2009-02-17 2029-12-31 - 755 SOUTH 5TH STREET, MACCLENNY, FL, 32063

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2017-03-30 755 South 5th Street, Macclenny, FL 32063 -
REGISTERED AGENT ADDRESS CHANGED 2015-07-07 115 North Calhoun St., Suite 4, Tallahassee, FL 32301 -
CHANGE OF MAILING ADDRESS 2014-01-14 755 South 5th Street, Macclenny, FL 32063 -

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 2015-01-14

USAspending Awards / Contracts

Procurement Instrument Identifier:
VA24814A0010
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:
2013-11-01
Description:
IGF::OT::IGF FOR OTHER FUNCTIONS SOVEREIGN HEALTCARE OF MACCLENNY
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
VA24812JN034
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
258243.46
Base And Exercised Options Value:
378105.46
Base And All Options Value:
378105.46
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. MACCLENNY NURSING HOME
Naics Code:
623110: NURSING CARE FACILITIES
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
VA573B0034
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
38663.00
Base And Exercised Options Value:
38663.00
Base And All Options Value:
38663.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2010-10-19
Description:
MACCLENNY NURSING HOME
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 Jul 2025

Sources: Florida Department of State