Seminole Pavilion Rehabilitation & Nursing Services

LBN: Ccrc Opco - Freedom Square, Llc
Seminole Pavilion Rehabilitation & Nursing Services is an health care organization with primary practice located at 10800 Temple Terrace , Seminole FL 33772-4736. 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 Ohlendorf, Mark W via phone (414) 918-5000.

Contact Information

Primary practice address
10800 Temple Terrace Seminole FL 33772-4736
Phone: (727) 398-0166
Fax: (727) 398-0188
Website:
Map and Directions
Authorized official contact:
Name: Ohlendorf, Mark W
Phone: (414) 918-5000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X SNF14960961 Florida

Profile Details

NPI number 1104875152
LBN Legal business name Ccrc Opco - Freedom Square, Llc
DBA Doing business as Seminole Pavilion Rehabilitation & Nursing Services
Authorized official Ohlendorf, Mark W
Entity Organization
Organization subpart 1 Yes
Enumeration date May 8th, 2006
Last updated Oct 3rd, 2014 - about 12 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 1104875152 NPPES
Florida MEDICAID 032423000

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