Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ccrc Opco - Cypress Village, LLC

Organization Assisted Living Facility · NPI 1760431399

Ccrc Opco - Cypress Village, LLC is an Assisted Living Facility in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4600 Middleton Park Cir E
Jacksonville, FL 32224-5691
Phone: (901) 223-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence SNF11170961 (FL)
Assisted Living Facility Taxonomy 310400000X · Licence AL7720 (FL)

Record details

NPI number1760431399
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBrookdale Senior Living Inc
Authorized official Mark Ohlendorf — President · (414) 918-5000
Other names Cypress Village
NPI enumeratedMay 10, 2006
Last updated in NPPESOctober 3, 2014
Mailing address330 N Wabash Ave, Suite 1400, Chicago, IL 60611-3586

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