| Entity Name: | SOVEREIGN HEALTHCARE OF PALMETTO, 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: | M03000002345 |
| FEI/EIN Number |
200185198
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 101 Sunnytown Road, Casselberry, FL, 32707, US |
| Address: | 926 Haben Boulevard, Palmetto, FL, 34221, US |
| ZIP code: | 34221 |
| County: | Manatee |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063409605 | 2005-09-29 | 2014-09-24 | 5887 GLENRIDGE DR, SUITE 150, ATLANTA, GA, 303285574, US | 926 HABEN BLVD, PALMETTO, FL, 342214142, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 404-574-2100 |
| Fax | 4045742105 |
| Phone | +1 941-722-0553 |
| Fax | 9417239309 |
Authorized person
| Name | MR. R. MARK CRONQUIST |
| Role | MANAGER |
| Phone | 4045742100 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF14610962 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 026345100 |
| State | FL |
| Issuer | VA |
| Number | V516P-6823 |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| SOUTHERN HEALTHCARE MANAGEMENT, LLC | Manager |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000078375 | RIVIERA PALMS REHABILITATION CENTER | ACTIVE | 2012-08-08 | 2027-12-31 | - | 2950 WILLOW BAY TERRACE, CASSELBERRY, FL, 32707, US |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-30 | 926 Haben Boulevard, Palmetto, FL 34221 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2015-07-07 | 115 North Calhoun St., Suite 4, Tallahassee, FL 32301 | - |
| CHANGE OF MAILING ADDRESS | 2014-01-13 | 926 Haben Boulevard, Palmetto, FL 34221 | - |
| 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 | 2015-01-13 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
