Active NPI
CCRC Opco-Freedom Square, LLC
- Skilled Nursing Facility
- Seminole, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CCRC OPCO-FREEDOM SQUARE, LLC
- Practice address
- 10801 Johnson Blvd
Seminole, FL 33772-4746 - Phone
- (727) 398-0166
- Fax
- (727) 398-0188
- NPI assigned
- Jun 12, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alison Beck
- Title
- Adminstrator
- Phone
- (727) 398-0166
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
10801 Johnson Blvd
Seminole, FL 33772-4746
Mailing address
1920 Main St Ste 1200
Irvine, CA 92614-7230
Phone (949) 407-0700
Other names 1
- Freedom Square Health Care Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service: | Other | eSolutions Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141021001651 | FL | Part A Provider - Skilled Nursing Facility | 8123249976 | Practice locations: Seminole, FL |
Skilled nursing facility certification: CCN 106042
- Legal name
- CCRC OPCO-FREEDOM SQUARE LLC
- Doing business as
- FREEDOM SQUARE HEALTH CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Feb 19, 2002
- Last certification
- Feb 8, 2024
- Beds
- 116
- Ownership / control type
- Corporation
- Multi-facility organization
- Healthpeak
- Organization structure
- LLC
- Enrollment address
- 10801 Johnson Blvd
Seminole, FL 33772-4746 - Nursing home name
- FREEDOM SQUARE HEALTH CARE CENTER
- Affiliated entity
- HEALTHPEAK PROPERTIES, INC.
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Freedom Square Health Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Feb 19, 2002
- Medicare certification status
- Active
- Certified beds
- 116
- Chain
- Healthpeak Properties, Inc.
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 |
|---|---|---|---|
| 10D0297531 | Freedom Square Health Care Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Arc Freedom Square LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Seminole, FL
- NPI 1033168992
-
- Skilled Nursing Facility
- Seminole, FL
- NPI 1104875152
-
- Assisted Living Facility
- Milwaukee, WI
- NPI 1609260371
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Ownership & related parties
All disclosed owners & managing parties 26
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Frank Russo | Managing Control - Governing Body | Jan 31, 2022 | |
| HCP Ventures II TRS LLC | Indirect Ownership Interest | Mar 19, 2026 | 0.24% |
| HCP Partners LP | Adp of the SNF | Mar 19, 2026 | |
| Indirect Ownership Interest | Mar 19, 2026 | 16.3% | |
| HCP Ma3 GP Holding, LLC | Indirect Ownership Interest | Mar 19, 2026 | 0.1% |
| HCP/LS 2011 Reit, LLC | Adp of the SNF | Mar 19, 2026 | |
| Indirect Ownership Interest | Mar 19, 2026 | 9.59% | |
| Janus Living Op LLC | Adp of the SNF | Mar 19, 2026 | |
| Indirect Ownership Interest | Mar 19, 2026 | 100% | |
| Janus Member, LLC | Adp of the SNF | Mar 19, 2026 | |
| Indirect Ownership Interest | Mar 19, 2026 | 52.78% | |
| CCRC Opco Ventures LLC | Direct Ownership Interest | Aug 29, 2014 | 100% |
| Patrick Michael Cheng | Managing Control - Governing Body | Jan 31, 2022 | |
| Ocean Acquisition I LLC | Adp of the SNF | Mar 19, 2026 | |
| Indirect Ownership Interest | Mar 19, 2026 | 16.3% | |
| HCP S-H 2014 Member LLC | Adp of the SNF | Mar 19, 2026 | |
| Indirect Ownership Interest | Feb 1, 2020 | 43.87% | |
| Blackrock Inc | Adp of the SNF | Mar 19, 2026 | |
| Indirect Ownership Interest | Mar 19, 2026 | 8.16% | |
| HCP Ma3, LP | Adp of the SNF | Mar 19, 2026 | |
| Indirect Ownership Interest | Mar 19, 2026 | 9.9% | |
| Life Care Services LLC | Operational/Managerial Control | Feb 1, 2020 | |
| Adp of the SNF | Jun 10, 2025 | ||
| State Street Corporation | Adp of the SNF | Mar 19, 2026 | |
| Indirect Ownership Interest | Mar 19, 2026 | 6.15% | |
| Vanguard Group Inc | Adp of the SNF | Mar 19, 2026 | |
| Indirect Ownership Interest | Mar 19, 2026 | 13.09% | |
| Healthpeak Op LLC | Adp of the SNF | Mar 19, 2026 | |
| Indirect Ownership Interest | Feb 10, 2023 | 81.64% | |
| Janus Living TRS LLC | Indirect Ownership Interest | Mar 19, 2026 | 100% |
| CCRC Propco Ventures, LLC | Adp of the SNF | Mar 19, 2026 | |
| Indirect Ownership Interest | Mar 19, 2026 | 28.86% | |
| Healthpeak Properties Inc | Adp of the SNF | Mar 19, 2026 | |
| Indirect Ownership Interest | Feb 1, 2020 | 81.64% | |
| Janus Living, Inc. | Adp of the SNF | Mar 19, 2026 | |
| Indirect Ownership Interest | Mar 19, 2026 | 71.14% | |
| Arc Freedom Square LLC | 5% Or Greater Security Interest | Feb 27, 2015 | 100% |
| Adp of the SNF | Feb 27, 2015 | ||
| Joseph Mingione | Operational/Managerial Control | Feb 3, 2020 | |
| Jeffrey W Comandini | Operational/Managerial Control | Nov 10, 2025 | |
| Managing Control - Governing Body | Nov 10, 2025 | ||
| Adp of the SNF | Apr 8, 2026 | ||
| HCP Ventures II Partner LLC | Adp of the SNF | Mar 19, 2026 | |
| Indirect Ownership Interest | Mar 19, 2026 | 11.88% | |
| Marcus M Janicki | Operational/Managerial Control | Jan 1, 2023 | |
| Adp of the SNF | Jun 10, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Tampa, FL
- NPI 1609189240
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 57
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Leesburg, FL
- NPI 1073927331
Life Care Services LLC
-
- Skilled Nursing Facility
- Clearwater, FL
- NPI 1164836425
Life Care Services LLC
-
- Skilled Nursing Facility
- Port Charlotte, FL
- NPI 1376957803
Life Care Services LLC
-
- Skilled Nursing Facility
- Bradenton, FL
- NPI 1417361858
Life Care Services LLC
-
- Skilled Nursing Facility
- Jacksonville, FL
- NPI 1790199057
Life Care Services LLC
-
- Skilled Nursing Facility
- Sun City Center, FL
- NPI 1699189126
Life Care Services LLC
-
- Skilled Nursing Facility
- Lady Lake, FL
- NPI 1457587818
Life Care Services LLC
-
- Skilled Nursing Facility
- Naples, FL
- NPI 1083663991
Life Care Services LLC
-
- Skilled Nursing Facility
- East Lansing, MI
- NPI 1659344844
Life Care Services LLC
Practitioners & affiliated clinicians
Affiliated clinicians 14
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Clearwater, FL
- NPI 1811126048
Nursing home
-
- Infectious Disease Physician
- Saint Petersburg, FL
- NPI 1528031408
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771286400000",
"number": "1780098202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 MAIN ST STE 1200",
"city": "IRVINE",
"state": "CA",
"postal_code": "926147230",
"telephone_number": "949-407-0700"
},
{
"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": "727-398-0166",
"fax_number": "727-398-0188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CCRC OPCO-FREEDOM SQUARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-12",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A",
"authorized_official_last_name": "BECK",
"authorized_official_first_name": "ALISON",
"authorized_official_title_or_position": "ADMINSTRATOR",
"authorized_official_telephone_number": "727-398-0166"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service:",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "eSolutions Inc.",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Freedom Square Health Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Seminole, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.