Organization · Type 2 NPI

CCRC Opco-Freedom Square, LLC

Skilled Nursing Facility · Seminole, FL

NPI number 1780098202 Active

Practice location

10801 Johnson Blvd
Seminole, FL 33772-4746

Fax (727) 398-0188

Mailing address

1920 Main St Ste 1200
Irvine, CA 92614-7230

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed

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…

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About NPI 1780098202

CCRC Opco-Freedom Square, LLC's National Provider Identifier is 1780098202, issued on Jun 12, 2014. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Seminole, FL. The record was last updated on Feb 17, 2026.