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ATLANTIC SHORES NURSING AND REHAB CENTER
NPI 1831186477
Skilled Nursing Facility in Melbourne, FL

Active since September 29, 2005CLIA 10D0907955 · Waiver
3/5
Overall Rating
4251 STACK BLVD, MELBOURNE, FL 32901(321) 953-2219(321) 953-2002 Get Directions Write a Review

NPPES record last updated: September 24, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Atlantic Shores Nursing And Rehab Center NPPES

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

ATLANTIC SHORES NURSING AND REHAB CENTER (NPI 1831186477) is a healthcare organization registered as a skilled nursing facility in Melbourne, Florida and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through October 25, 2027 and lists R. Mark Cronquist, Manager, as its authorized official.

NPPES Registry Identity

NPI1831186477
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSOVEREIGN HEALTHCARE OF ATLANTIC SHORES, LLC
Location Address4251 STACK BLVDMelbourne, FL 32901-8526
Mailing Address5887 Glenridge Dr, Suite 150Atlanta, GA 30328-5574 · (404) 574-2100 · Fax (404) 574-2105
Phone(321) 953-2219
Fax(321) 953-2002
Organization SubpartNo
Authorized OfficialR. Mark CronquistManager · (404) 574-2100
Enumeration DateSeptember 29, 2005
Last NPPES UpdateSeptember 24, 2014
✔ NPI 1831186477 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 · SNF16420951
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.
4251 STACK BLVD, Melbourne, FL 32901
Open in Google Maps ↗

Other Names 1

Doing Business AsAtlantic Shores Nursing And Rehab Center

Other Identifiers 3

OtherV673P-5340Va
Medicaid026338900FL
Medicare OSCAR/certification105904FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida, UnitedHealthcare.Insurance ›

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 10D0907955

Atlantic Shores Nursing And Rehab Center · Melbourne, FL
Active · expires Oct 25, 2027
CLIA Number10D0907955
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorTisa M. Forte
Laboratory Phone(321) 953-2219
Laboratory LocationAtlantic Shores Nursing And Rehab Center4251 Stack Blvd, Melbourne, FL 32901
CLIA data matches this NPI record on: Address Name 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 Atlantic Shores Nursing And Rehab Center (CMS certification number 105904), from CMS Care Compare.

Atlantic Shores Nursing And Rehab Center

Nursing home · Melbourne, FL
3/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number105904
Certified Beds120 beds104 residents per day on average
Medicare & Medicaid Participant SinceJanuary 31, 1996
Resident & Family CouncilResident and family councils
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
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.
3/5
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.
37.33
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 2.3 · LPN 1.11 · RN 0.41
3.82 hrs per resident per day
Weekend Nurse Staffing
3.32 hrs per resident per day
Physical Therapist Staffing
0.14 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
44.5%
Registered Nurse Turnover
70.6%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
7
Infection-Control Citations
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 2

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

BRANDON SMITH
Nurse Practitioner (Family)
4251 STACK BLVD
MELBOURNE, FL 32901
Brevard County (321) 506-4686
REBEKAH ANN VAN SOMEREN NP
Nurse Practitioner (Gerontology)
4251 STACK BLVD
MELBOURNE, FL 32901
Brevard County (321) 953-2219

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 Atlantic Shores, LLC's NPI number?

The NPI number for Sovereign Healthcare Of Atlantic Shores, LLC is 1831186477. It was assigned to this organization in the NPPES registry on September 29, 2005. The provider is doing business as Atlantic Shores Nursing And Rehab Center.

Where is Sovereign Healthcare Of Atlantic Shores, LLC located?

Sovereign Healthcare Of Atlantic Shores, LLC is located at 4251 Stack Blvd, Melbourne, FL 32901. The listed phone number is (321) 953-2219.

What is Sovereign Healthcare Of Atlantic Shores, LLC's specialty?

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

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

Yes. A Certificate of Waiver (number 10D0907955) is associated with this NPI, valid through October 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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

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

What quality rating does Sovereign Healthcare Of Atlantic Shores, LLC have?

CMS rates Atlantic Shores Nursing And Rehab Center 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Sovereign Healthcare Of Atlantic Shores, LLC accept?

Health plans from Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Sovereign Healthcare Of Atlantic Shores, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sovereign Healthcare Of Atlantic Shores, LLC was last updated on September 24, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.