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JACKSONVILLE NURSING & REHAB CENTER
NPI 1891782462
Skilled Nursing Facility in Jacksonville, FL

Active since September 29, 2005
5/5
Overall Rating
4134 DUNN AVE, JACKSONVILLE, FL 32218(904) 766-2297(904) 766-9166 Get Directions Write a Review

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

About Jacksonville Nursing & Rehab Center NPPES

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

JACKSONVILLE NURSING & REHAB CENTER (NPI 1891782462) is a healthcare organization registered as a skilled nursing facility in Jacksonville, Florida and active in the NPI registry since September 2005. The organization lists R. Mark Cronquist, Manager, as its authorized official.

NPPES Registry Identity

NPI1891782462
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSOVEREIGN HEALTHCARE OF JACKSONVILLE, LLC
Location Address4134 DUNN AVEJacksonville, FL 32218-4410
Mailing Address5887 Glenridge Dr, Suite 150Atlanta, GA 30328-5574 · (404) 574-2100 · Fax (404) 574-2105
Phone(904) 766-2297
Fax(904) 766-9166
Organization SubpartNo
Authorized OfficialR. Mark CronquistManager · (404) 574-2100
Enumeration DateSeptember 29, 2005
Last NPPES UpdateSeptember 24, 2014
✔ NPI 1891782462 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 · SNF13500963
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.
4134 DUNN AVE, Jacksonville, FL 32218
Open in Google Maps ↗

Other Names 1

Doing Business AsJacksonville Nursing & Rehab Center

Other Identifiers 3

Medicaid026349400FL
Medicare OSCAR/certification105710
OtherV573P-6380Va

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.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 10D0889468

Jacksonville Nursing And Rehab Center · Jacksonville, FL
Expired · Jul 28, 2026
CLIA Number10D0889468
Laboratory TypeHome Health Agency
Certificate Effective DateJuly 29, 2024
Certificate Expiration DateJuly 28, 2026
Laboratory DirectorTammy King-Charles
Laboratory Phone(904) 766-2297
Laboratory LocationJacksonville Nursing And Rehab Center4134 Dunn Ave, Jacksonville, FL 32218
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 Jacksonville Nursing And Rehab Center (CMS certification number 105710), from CMS Care Compare.

Jacksonville Nursing And Rehab Center

Nursing home · Jacksonville, FL
5/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number105710
Certified Beds163 beds151 residents per day on average
Medicare & Medicaid Participant SinceOctober 31, 1990
Resident & Family CouncilResident council
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.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
12.67
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 2.15 · LPN 0.8 · RN 0.57
3.52 hrs per resident per day
Weekend Nurse Staffing
3.09 hrs per resident per day
Physical Therapist Staffing
0.12 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
50.4%
Registered Nurse Turnover
61.5%
Administrators Who Have Left
In the past year.
2
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
3
Infection-Control Citations
0
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.

CEDDETH RICHARDSON MOTR/L
Occupational Therapist
4134 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 766-2297

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 Jacksonville, LLC's NPI number?

The NPI number for Sovereign Healthcare Of Jacksonville, LLC is 1891782462. It was assigned to this organization in the NPPES registry on September 29, 2005. The provider is doing business as Jacksonville Nursing & Rehab Center.

Where is Sovereign Healthcare Of Jacksonville, LLC located?

Sovereign Healthcare Of Jacksonville, LLC is located at 4134 Dunn Ave, Jacksonville, FL 32218. The listed phone number is (904) 766-2297.

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

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

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

Yes. Jacksonville Nursing And Rehab Center is a Medicare-certified nursing home with 163 certified beds.

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

CMS rates Jacksonville 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.

What insurance does Sovereign Healthcare Of Jacksonville, LLC accept?

Health plans from Oscar Health Maintenance Organization of Florida list Sovereign Healthcare Of Jacksonville, 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 Jacksonville, 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.