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

Ccrc Opco - Freedom Square, LLC

Organization Skilled Nursing Facility · NPI 1033168992

Ccrc Opco - Freedom Square, LLC is a Skilled Nursing Facility in Seminole, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
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

10801 Johnson Blvd
Seminole, FL 33772-4746
Phone: (727) 398-0166
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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 SNF1167096 (FL)

Record details

NPI number1033168992
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBrookdale Senior Living Inc
Authorized official Miki States — Administrator · (727) 398-0166
Other names Freedom Square Rehabilitation & Nursing Services; Freedom Square Rehabilitation & Nursing Services
NPI enumeratedMay 9, 2006
Last updated in NPPESFebruary 10, 2022
Certification dateFebruary 10, 2022
Mailing address10801 Johnson Blvd, Seminole, FL 33772-4746

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