CCRC Development Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CCRC DEVELOPMENT CORPORATION

Practice address

2110 Hestia Loop
Oviedo, FL 32765-9274

Phone

(407) 543-6951

NPI assigned

Oct 13, 2021

Last updated

Mar 7, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kevin J Smaage, NHA

Title

Director of Health Services

Phone

(407) 543-6951

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902568322. Details of each certification follow.

• CCN 106153 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 106153

Legal name

CCRC DEVELOPMENT CORPORATION

Doing business as

LEGACY POINTE AT UCF

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 16, 2023

Last certification

Jan 24, 2025

Beds

48

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Sep 17, 2005 in FL

Enrollment address

2120 Hestia Loop
Oviedo, FL 32765-9274

Nursing home name

LEGACY POINTE AT UCF

Listed as

Legacy Pointe at UcfCCN 106153 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Dec 16, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4843.2 residents per day on average

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

2Fines totaling $26,685

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Cristine Arana Rivera, MD

  • General Practice Physician
  • Casselberry, FL
  • NPI 1982308730

  Nursing home

  Care Compare affiliation
• Adrian L Burrowes, MD

  • Family Medicine Physician
  • Casselberry, FL
  • NPI 1700822657

  Nursing home

  Care Compare affiliation
• Matthew Calestino, M.D.

  • Internal Medicine Physician
  • Casselberry, FL
  • NPI 1083690713

  Nursing home

  Care Compare affiliation
• Makeda A Williams, M.D.

  • Internal Medicine Physician
  • Casselberry, FL
  • NPI 1821246877

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1902568322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 HESTIA LOOP",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659274",
            "telephone_number": "407-543-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 HESTIA LOOP",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659274",
            "telephone_number": "407-543-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCRC DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "SMAAGE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH SERVICES",
        "authorized_official_telephone_number": "407-543-6951",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.

Verify at the official NPI Registry.