CYPRESS VILLAGE
NPI 1760431399
Skilled Nursing Facility in Jacksonville, FL

Active since May 10, 2006CLIA 10D2060591 · Waiver
4600 MIDDLETON PARK CIR E, JACKSONVILLE, FL 32224(901) 223-6100 Get Directions Write a Review

NPPES record last updated: October 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cypress Village NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CYPRESS VILLAGE (NPI 1760431399) is a healthcare organization registered as a skilled nursing facility in Jacksonville, Florida and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through June 12, 2027 and lists Mark W Ohlendorf, President, as its authorized official.

NPPES Registry Identity

NPI1760431399
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCCRC OPCO - CYPRESS VILLAGE, LLC
Location Address4600 MIDDLETON PARK CIR EJacksonville, FL 32224-5691
Mailing Address330 N Wabash Ave, Suite 1400Chicago, IL 60611-3586 · (312) 977-3700
Organization SubpartYesParent: Brookdale Senior Living Inc
Authorized OfficialMark W OhlendorfPresident · (414) 918-5000
Enumeration DateMay 10, 2006
Last NPPES UpdateOctober 3, 2014
NPI 1760431399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in FL · SNF11170961
Definition
(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.
Also ListedAssisted Living FacilityTaxonomy 310400000X · License AL7720 (FL)
4600 MIDDLETON PARK CIR E, Jacksonville, FL 32224

Other Names 1

Doing Business AsCypress Village

Other Identifiers 2

Medicaid30799800FL
Medicare OSCAR/certification105745FL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2060591

Cypress Village · Jacksonville, FL
Active · expires Jun 12, 2027
CLIA Number10D2060591
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorStephanie Markoski
Laboratory Phone(904) 223-6100
Laboratory LocationCypress Village4600 Middleton Park Cir E, Jacksonville, FL 32224
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
4600 MIDDLETON PARK CIR E
JACKSONVILLE, FL 32224
Occupational Therapist
4600 MIDDLETON PARK CIR E
JACKSONVILLE, FL 32224
Occupational Therapist (Gerontology)
4600 MIDDLETON PARK CIR E
JACKSONVILLE, FL 32224
Occupational Therapy Assistant
4600 MIDDLETON PARK CIR E
JACKSONVILLE, FL 32224
Occupational Therapist (Gerontology)
4600 MIDDLETON PARK CIR E
JACKSONVILLE, FL 32224
Physical Therapist (Neurology)
4600 MIDDLETON PARK CIR E
JACKSONVILLE, FL 32224
Skilled Nursing Facility
4600 MIDDLETON PARK CIR E
JACKSONVILLE, FL 32224
Physical Medicine & Rehabilitation
4600 MIDDLETON PARK CIR E
JACKSONVILLE, FL 32224

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ccrc Opco - Cypress Village, LLC's NPI number?

The NPI number for Ccrc Opco - Cypress Village, LLC is 1760431399. It was assigned to this organization in the NPPES registry on May 10, 2006. The provider is doing business as Cypress Village.

Where is Ccrc Opco - Cypress Village, LLC located?

Ccrc Opco - Cypress Village, LLC is located at 4600 Middleton Park Cir E, Jacksonville, FL 32224. The listed phone number is (901) 223-6100.

What is Ccrc Opco - Cypress Village, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Ccrc Opco - Cypress Village, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2060591) is associated with this NPI, valid through June 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ccrc Opco - Cypress Village, LLC was last updated on October 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.