{"npi":"1053308775","type":"NPI-2","status":"active","name":{"display":"Sovereign Healthcare Of Palm City, LLC","other":[],"organization_name":"SOVEREIGN HEALTHCARE OF PALM CITY, LLC","authorised_official":"R. Cronquist"},"specialty":{"primary_taxonomy":"314000000X","primary_taxonomy_description":"Skilled Nursing Facility","slug":"skilled-nursing-facility","schema_org_specialty":null,"all":[{"code":"314000000X","description":"Skilled Nursing Facility","primary":true,"state":"FL","license":"SNF14630961"}]},"addresses":[{"purpose":"LOCATION","street_1":"2505 SW MARTIN HWY","city":"PALM CITY","state":"FL","postal_code":"349903149","country_code":"US","phone":"7722880060","fax":"7722883218"},{"purpose":"MAILING","street_1":"5887 GLENRIDGE DR","city":"ATLANTA","state":"GA","postal_code":"303285574","country_code":"US","street_2":"SUITE 150","phone":"4045742100","fax":"4045742105"}],"license":{"state":"FL","number":"SNF14630961"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"026362100","state":"FL","issuer":null},{"type_code":"01","label":"Other","value":"V548P-1071","state":null,"issuer":"VA"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20030903000014","type_code":"00-18","type_desc":"PART A PROVIDER - SKILLED NURSING FACILITY","state":"FL","pac_id":"0446161780"}]},"enumeration_date":"2005-09-29","last_updated":"2014-10-07","_meta":{"source":"NPPES","snapshot_date":"2014-10-07","doc_url":"https://findmynpi.com/api"}}