Freedom Square Rehabilitation & Nursing Services

LBN: Ccrc Opco - Freedom Square, Llc
Freedom Square Rehabilitation & Nursing Services is an health care organization with primary practice located at 10801 Johnson Blvd , Seminole FL 33772-4746. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Ccrc Opco - Freedom Square, Llc can be contacted via phone (727) 398-0166, or through States, Miki C. via phone (727) 398-0166.

Contact Information

Primary practice address
10801 Johnson Blvd Seminole FL 33772-4746
Phone: (727) 398-0166
Fax:
Website:
Map and Directions
Authorized official contact:
Name: States, Miki C.
Phone: (727) 398-0166

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF1167096 Florida

Profile Details

NPI number 1033168992
LBN Legal business name Ccrc Opco - Freedom Square, Llc
DBA Doing business as Freedom Square Rehabilitation & Nursing Services
Authorized official States, Miki C.
Entity Organization
Organization subpart 1 Yes
Enumeration date May 9th, 2006
Last updated Feb 10th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033168992 NPPES
Florida MEDICAID 032424800

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