Ccrc Opco - Freedom Square, LLC
Ccrc Opco - Freedom Square, LLC is a healthcare organization registered as Skilled Nursing Facility in Seminole, FL, holding Type 2 (organization) NPI 1033168992 since 2006. The authorized official on file is Miki States, Administrator.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1033168992 |
|---|---|
| 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 | 7273980166 |
| Enumeration date | 2006-05-09 |
| Last updated in NPPES | 2022-02-10 |
Authorized official
| Name | Miki States |
|---|---|
| Title | Administrator |
| Phone | 7273980166 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | SNF1167096 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032424800 | Medicaid | FL | — |
Copy-ready billing details
Provider: Ccrc Opco - Freedom Square, LLC NPI: 1033168992 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 10801 JOHNSON BLVD, Seminole, FL, 33772
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1518166131 | Arc Freedom Square LLC | Organization | Assisted Living Facility | Seminole, FL |
| 1780098202 | Ccrc Opco-Freedom Square, LLC | Organization | Skilled Nursing Facility | Seminole, FL |
| 1811616667 | Rashnah Griffin | Individual | Occupational Therapist | Seminole, FL |
| 1992425573 | Julie White | Individual | Occupational Therapist | Seminole, FL |
| 1164142790 | Melissa Dougherty | Individual | Occupational Therapist | Seminole, FL |
| 1366163156 | Barbara Abbott | Individual | Physical Therapist | Seminole, FL |
Verify this record
Cross-check NPI 1033168992 against the authoritative CMS record: view Ccrc Opco - Freedom Square, LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Ccrc Opco - Freedom Square, LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-02-10.