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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CCRC - SOUTH PORT SQUARE, LLC

Active Organization

CCRC - SOUTH PORT SQUARE, LLC is a Skilled Nursing Facility organization located in PORT CHARLOTTE, Florida. NPI 1376957803 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · PORT CHARLOTTE, FL

Registration Details

NPI Number
1376957803
Provider Type
Organization
NPI Issued
Jun 12, 2014 (12.189182709735 yrs)
Last Updated
Jan 19, 2026

Practice Information

Address
23013 WESTCHESTER BLVD
PORT CHARLOTTE, FL, 339808448
Browse FL providers · Browse ZIP 33980
Phone
9416251220
Primary Specialty
Skilled Nursing Facility
314000000X

Other Skilled Nursing Facility Organizations in PORT CHARLOTTE, FL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.