Ccrc Opco - Freedom Square, Llc in Seminole - Skilled Nursing Facility
Ccrc Opco - Freedom Square, Llc - NPI 1104875152
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 1104875152. The last update date is 2014-10-03.
Ccrc Opco - Freedom Square, Llc's current location address is 10800 Temple Terrace, Seminole, Florida. You can contact this provider via phone number 7273980166 and fax number 7273980188. The mailing address for Ccrc Opco - Freedom Square, Llc is 10800 Temple Terrace, Seminole, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ccrc Opco - Freedom Square, Llc |
|---|---|
| Address | 10800 Temple Terrace, Seminole, Florida |
| Phone Number | 7273980166 |
| Fax Number | 7273980188 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ohlendorf W Mark |
| Telephone Number | 4149185000 |
NPI Number Detail
| NPI Number | 1104875152 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2014-10-03 |
Provider Mailing Address Detail
| Address | 10800 Temple Terrace |
|---|---|
| City | Seminole |
| State | Florida (FL) |
| Post Code | 337724736 |
| Phone Number | 7273980166 |
| Fax Number | 7273980188 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | SNF14960961 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32423000 | FL | -- |
Post Comment/ Review Below
What is the Ccrc Opco - Freedom Square, Llc's unique identification number?
The Ccrc Opco - Freedom Square, Llc has been assigned the NPI (National Provider Identifier) Number 1104875152 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Ccrc Opco - Freedom Square, Llc's facilities are situated?
The facilities of Ccrc Opco - Freedom Square, Llc are physically located at the following address: 10800 Temple Terrace, Seminole, FL, 337724736.
What is Ccrc Opco - Freedom Square, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Ccrc Opco - Freedom Square, Llc is Skilled Nursing Facility, and the taxonomy classification code that categorizes this area of expertise is 314000000X.
On what date did Ccrc Opco - Freedom Square, Llc receive its 1104875152 assignment from the Centers for Medicare & Medicaid Services?
The Ccrc Opco - Freedom Square, Llc was assigned its 1104875152 on 2006-05-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Ccrc Opco - Freedom Square, Llc's details last updated?
The information pertaining to the Ccrc Opco - Freedom Square, Llc, including its address, specialty, and other details, was most recently updated on 2014-10-03.