Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareCCRC OPCO - CYPRESS VILLAGE, LLC
Assisted Living Facility
Jacksonville, Florida
Provider NPI: 1760431399
Organization Information:Organization Name: CCRC OPCO - CYPRESS VILLAGE, LLC
Practice Location:
4600 MIDDLETON PARK CIR E JACKSONVILLE, FL 32224 US
Tel: 901-223-6100 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
4600 MIDDLETON PARK CIR E JACKSONVILLE, FL 32224 US
Tel: 901-223-6100 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | FL | AL7720 |
| Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | FL | SNF11170961 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 30799800 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin