Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Sovereign Healthcare of Port St Lucie, LLC

Organization Skilled Nursing Facility · NPI 1548257165

Sovereign Healthcare of Port St Lucie, LLC is a Skilled Nursing Facility in Port St Lucie, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1800 SE Hillmoor Dr
Port St Lucie, FL 34952-7542 Not confirmed with CMS for 12 years — call before visiting
Phone: (772) 337-3565
Fax: (772) 337-2989
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence SNF15590961 (FL)

Record details

NPI number1548257165
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official R. Cronquist — Manager · (404) 574-2100
Other names Tiffany Hall Nursing & Rehab Center
NPI enumeratedSeptember 29, 2005
Last updated in NPPESSeptember 24, 2014
Mailing address5887 Glenridge Dr, Suite 150, Atlanta, GA 30328-5574

Other providers in Port St Lucie