SEMINOLE PAVILLION HEALTH CENTER – NPI #1225443583
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

SEMINOLE PAVILLION HEALTH CENTER is a skilled nursing facility (SNF) located in SEMINOLE, FL. NPPES has assigned the NPI number 1225443583 to SEMINOLE PAVILLION HEALTH CENTER on June 25, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SEMINOLE PAVILLION HEALTH CENTER” is a dba name, the actual legal business name for this organization is CCRC OPCO-FREEDOM SQUARE, LLC. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 5 years ago on Feb 10, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SEMINOLE PAVILLION HEALTH CENTER below.

NPI Profile for
CCRC OPCO-FREEDOM SQUARE, LLC

NPI Number
1225443583
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CCRC OPCO-FREEDOM SQUARE, LLC
Doing Business As (dba): SEMINOLE PAVILLION HEALTH CENTER
Primary location
10800 TEMPLE TER
SEMINOLE, FL 33772-4736
Phone: (727) 398-0166 Fax:
Mailing address
1920 MAIN ST STE 1200
IRVINE, CA 92614-7230
Phone: (949) 407-0700 Fax:
Organization Subpart
No
Authorized Official
JEFFREY MILLER
CEO/PRESIDENT
Phone: (949) 407-0700
Updated
Certification Date
Feb 10, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.1066.1
Content Type
OTHER
Affiliation
Y
Endpoint Location
8215 W 108TH TER,
OVERLAND PARK, KS 77025-1669