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MACCLENNY NURSING & REHAB CENTER
NPI 1720075351
Skilled Nursing Facility in Macclenny, FL

Active since September 29, 2005CLIA 10D0690223 · Waiver
5/5
Overall Rating
755 S 5TH ST, MACCLENNY, FL 32063(904) 259-4873(904) 259-5381 Get Directions Write a Review

NPPES record last updated: September 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Macclenny Nursing & Rehab Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACCLENNY NURSING & REHAB CENTER (NPI 1720075351) is a healthcare organization registered as a skilled nursing facility in Macclenny, Florida and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists R. Mark Cronquist, Manager, as its authorized official.

NPPES Registry Identity

NPI1720075351
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSOVEREIGN HEALTHCARE OF MACCLENNY, LLC
Location Address755 S 5TH STMacclenny, FL 32063-2685
Mailing Address5887 Glenridge Dr, Suite 150Atlanta, GA 30328-5574 · (404) 574-2100 · Fax (404) 574-2105
Phone(904) 259-4873
Fax(904) 259-5381
Organization SubpartNo
Authorized OfficialR. Mark CronquistManager · (404) 574-2100
Enumeration DateSeptember 29, 2005
Last NPPES UpdateSeptember 24, 2014
✔ NPI 1720075351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in FL · SNF1222096
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
755 S 5TH ST, Macclenny, FL 32063
Open in Google Maps ↗

Other Names 1

Doing Business AsMacclenny Nursing & Rehab Center

Other Identifiers 3

Medicaid026351600FL
OtherV573P-6392Va
Medicare OSCAR/certification105737

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0690223

Macclenny Nursing And Rehab Center · Macclenny, FL
Active · expires Aug 31, 2026
CLIA Number10D0690223
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorGinger Overstreet
Laboratory Phone(904) 259-4873
Laboratory LocationMacclenny Nursing And Rehab Center755 South 5th Street, Macclenny, FL 32063
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Macclenny Nursing And Rehab Center (CMS certification number 105737), from CMS Care Compare.

Macclenny Nursing And Rehab Center

Nursing home · Macclenny, FL
5/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number105737
Certified Beds120 beds105 residents per day on average
Medicare & Medicaid Participant SinceJuly 11, 1991
Resident & Family CouncilResident and family councils
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
12
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.21 · LPN 0.87 · RN 0.47
3.55 hrs per resident per day
Weekend Nurse Staffing
3.22 hrs per resident per day
Physical Therapist Staffing
0.06 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
59.8%
Registered Nurse Turnover
42.9%
Administrators Who Have Left
In the past year.
3
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
1
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY NICHELLE CANADAY PT, DPT
Physical Therapist
755 S 5TH ST
MACCLENNY, FL 32063
Baker County (904) 259-4873

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sovereign Healthcare Of Macclenny, LLC's NPI number?

The NPI number for Sovereign Healthcare Of Macclenny, LLC is 1720075351. It was assigned to this organization in the NPPES registry on September 29, 2005. The provider is doing business as Macclenny Nursing & Rehab Center.

Where is Sovereign Healthcare Of Macclenny, LLC located?

Sovereign Healthcare Of Macclenny, LLC is located at 755 S 5th St, Macclenny, FL 32063. The listed phone number is (904) 259-4873.

What is Sovereign Healthcare Of Macclenny, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Sovereign Healthcare Of Macclenny, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0690223) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Sovereign Healthcare Of Macclenny, LLC a Medicare-certified nursing home?

Yes. Macclenny Nursing And Rehab Center is a Medicare-certified nursing home with 120 certified beds.

What quality rating does Sovereign Healthcare Of Macclenny, LLC have?

CMS rates Macclenny Nursing And Rehab Center 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Sovereign Healthcare Of Macclenny, LLC was last updated on September 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.