Organization · Type 2 NPI

CCRC Opco - Bradenton, LLC

Skilled Nursing Facility · Bradenton, FL

NPI number 1013947084 Active

Practice location

6410 21st Ave W
Bradenton, FL 34209-7854

Call (941) 798-8200 Map

Fax (941) 798-8305

Mailing address

111 Westwood Pl, Suite 200
Brentwood, TN 37027-5021

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	SNF1168096 (FL)

Skilled Nursing Facility: (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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

5 other providers at this address

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NPI record

NPI: 1013947084
Entity type: Organization (Type 2)
Issued: Jul 4, 2006
Last updated: Oct 3, 2014
Status: Active
Subpart: Yes of Brookdale Senior Living Inc

Other names

<unavail>
The Nursing Center at Freedom Village · doing business as

Authorized official

Mr. Mark W Ohlendorf
President
(414) 918-5000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013947084

CCRC Opco - Bradenton, LLC's National Provider Identifier is 1013947084, issued on Jul 4, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Bradenton, FL. The record was last updated on Oct 3, 2014.