Ccrc Opco - Cypress Village, LLC
NPI 1790199057ActiveOrganization· Skilled Nursing Facility· Jacksonville, FL
Skilled Nursing Facility in Jacksonville, Florida, registered in NPPES in June 2014. The authorized official on file is Stephanie Markoski, Administrator. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1790199057 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 16, 2014 |
| Last updated in NPPES | Jan 19, 2026 |
| Certified by provider | Jan 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (FL) |
|---|
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