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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Ccrc Opco - Freedom Square, LLC

Skilled Nursing Facility in Seminole, FL · enumerated 2006 · authorized official Miki States, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033168992

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Registry record

Entity type Organization (Type 2)
Legal business name Ccrc Opco - Freedom Square, LLC
Other name <Unavail>
Parent organization Brookdale Senior Living Inc
Practice address 10801 Johnson Blvd, Seminole, FL, 33772
Phone (727) 398-0166
Enumeration date May 9, 2006
Last updated in NPPES Feb 10, 2022

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License SNF1167096 (FL) Primary

Authorized official

Name Miki States
Title Administrator
Phone (727) 398-0166

Other identifiers

Identifier Type State Issuer
032424800 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Ccrc Opco - Freedom Square, LLC located?
The practice location on file with NPPES is in Seminole, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-02-10. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-02-10.