Ccrc Opco - Cypress Village, Llc in Jacksonville - Assisted Living Facility
Ccrc Opco - Cypress Village, Llc - NPI 1760431399
Ccrc Opco - Cypress Village, Llc is a Assisted Living Facility in Jacksonville, Florida. Ccrc Opco - Cypress Village, Llc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Ccrc Opco - Cypress Village, Llc is 1760431399. The last update date is 2014-10-03.
Ccrc Opco - Cypress Village, Llc's current location address is 4600 Middleton Park Cir E, Jacksonville, Florida. You can contact this provider via phone number 9012236100. The mailing address for Ccrc Opco - Cypress Village, Llc is 4600 Middleton Park Cir E, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ccrc Opco - Cypress Village, Llc |
|---|---|
| Address | 4600 Middleton Park Cir E, Jacksonville, Florida |
| Phone Number | 9012236100 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ohlendorf W Mark |
| Telephone Number | 4149185000 |
NPI Number Detail
| NPI Number | 1760431399 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2014-10-03 |
Provider Mailing Address Detail
| Address | 4600 Middleton Park Cir E |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322245691 |
| Phone Number | 9012236100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | AL7720 |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30799800 | FL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Ccrc Opco - Cypress Village, Llc by the Centers for Medicare & Medicaid Services?
The Ccrc Opco - Cypress Village, Llc has been issued the NPI (National Provider Identifier) 1760431399. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Ccrc Opco - Cypress Village, Llc located?
The Ccrc Opco - Cypress Village, Llc is located at 4600 Middleton Park Cir E, Jacksonville, FL 322245691.
What is the Ccrc Opco - Cypress Village, Llc's specialty and taxonomy code?
The Ccrc Opco - Cypress Village, Llc's specialty is Assisted Living Facility, and the corresponding taxonomy code is 310400000X.
When was the Ccrc Opco - Cypress Village, Llc's 1760431399 issued?
The Ccrc Opco - Cypress Village, Llc's 1760431399 was issued on 2006-05-10.
When was the information regarding Ccrc Opco - Cypress Village, Llc most recently updated?
The details pertaining to the Ccrc Opco - Cypress Village, Llc, including its address, specialty, and other relevant information, were last refreshed on 2014-10-03.