Active NPI
Arc Freedom Square LLC
Doing business as The Inn at Freedom Square
- Assisted Living Facility
- Seminole, FL
National Provider Identifier
1518166131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- ARC FREEDOM SQUARE LLC
- Doing business as
- The Inn at Freedom Square
- Practice address
- 10801 Johnson Blvd
Seminole, FL 33772-4746 - Phone
- (727) 398-0379
- NPI assigned
- Jul 13, 2007
- Last updated
- Jul 13, 2007
- Organization subpart
- Yes
- Parent organization
- BROOKDALE SENIOR LIVING INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bryan Richardson
- Title
- Cfo
- Phone
- (615) 221-2250
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NU | Primary |
Addresses
Primary practice location
10801 Johnson Blvd
Seminole, FL 33772-4746
Mailing address
10801 Johnson Blvd
Seminole, FL 33772-4746
Phone (727) 398-0379
Other names 1
- The Inn at Freedom Square
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1083526 | Inn at Freedom Square,the | Certificate of waiver | May 4, 2028 |
National Provider Directory
National Provider Directory- Part of
- Brookdale Senior Living Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184284800000",
"number": "1518166131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10801 JOHNSON BLVD",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337724746",
"telephone_number": "727-398-0379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10801 JOHNSON BLVD",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337724746",
"telephone_number": "727-398-0379"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARC FREEDOM SQUARE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BROOKDALE SENIOR LIVING INC",
"enumeration_date": "2007-07-13",
"last_updated": "2007-07-13",
"status": "A",
"authorized_official_last_name": "RICHARDSON",
"authorized_official_first_name": "BRYAN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "615-221-2250"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Inn at Freedom Square",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Seminole, FL
- Susan Denise Anderson, DMD
- Anesthesia Dynamics LLC
- Angel Flights, LLC
- Anthony J. Auletta, Jr. D.M.D., PA
- Apex Anti-Aging Inc. (Apex Health)
- Arden Courts of Seminole FL LLC (Arden Courts of Seminole)
- Arden's Medical Equipment Inc.
- Gina Arlington, M.S., PT
- Armstrong Dermatology and Skin Cancer Center P a
- Frank T Armstrong, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.