Ccrc Opco - Freedom Square, Llc in Seminole - Skilled Nursing Facility

Ccrc Opco - Freedom Square, Llc - NPI 1033168992

Ccrc Opco - Freedom Square, Llc is a Skilled Nursing Facility in Seminole, Florida. Ccrc Opco - Freedom Square, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Ccrc Opco - Freedom Square, Llc is 1033168992. The last update date is 2022-02-10.

Ccrc Opco - Freedom Square, Llc's current location address is 10801 Johnson Blvd, Seminole, Florida. You can contact this provider via phone number 7273980166. The mailing address for Ccrc Opco - Freedom Square, Llc is 10801 Johnson Blvd, Seminole, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ccrc Opco - Freedom Square, Llc
Address 10801 Johnson Blvd, Seminole, Florida
Phone Number 7273980166
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name States C. Miki
Telephone Number 7273980166

NPI Number Detail

NPI Number 1033168992
Provider Enumeration Date 2006-05-09
Last Updated Date 2022-02-10

Provider Mailing Address Detail

Address 10801 Johnson Blvd
City Seminole
State Florida (FL)
Post Code 337724746
Phone Number 7273980166
Fax Number

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No SNF1167096
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 serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
32424800 FL --

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FAQs about Ccrc Opco - Freedom Square, Llc

What is the unique identification code assigned to Ccrc Opco - Freedom Square, Llc by the Centers for Medicare & Medicaid Services?

The Ccrc Opco - Freedom Square, Llc has been issued the NPI (National Provider Identifier) 1033168992. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Ccrc Opco - Freedom Square, Llc is geographically located?

The Ccrc Opco - Freedom Square, Llc is physically situated at the following location: 10801 Johnson Blvd, Seminole, FL, 337724746.

What is the Ccrc Opco - Freedom Square, Llc's area of specialization and corresponding taxonomy classification?

The Ccrc Opco - Freedom Square, Llc's specialty field is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their specialties.

On what date did the Ccrc Opco - Freedom Square, Llc receive the assignment of its 1033168992 from the Centers for Medicare & Medicaid Services?

The Ccrc Opco - Freedom Square, Llc was issued its 1033168992 by the Centers for Medicare & Medicaid Services on 2006-05-09.

When was the information regarding Ccrc Opco - Freedom Square, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Ccrc Opco - Freedom Square, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-02-10.

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