Nic 4 Bradenton Oaks Leasing LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

6662 Issued in FL

Legal business name

NIC 4 BRADENTON OAKS LEASING LLC

Practice address

1015 7TH Ave East
Bradenton, FL 34208

Phone

(941) 746-8108

Fax

(941) 746-8366

NPI assigned

Apr 24, 2013

Organization subpart

No

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

Authorized official

Name

Jane Ryu

Title

President/Ceo/Cfo

Phone

(212) 479-5270

Specialties & licenses 1

Addresses

Other names 1

• Bradenton Oaks Courtyard Doing business as

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1164866869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1700 C/O HOLIDAY RETIREMENT",
            "address_2": "NIC 4 BRADENTON OAKS LEASING LLC",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "97035",
            "telephone_number": "971-245-8020",
            "fax_number": "503-431-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 7TH AVE EAST",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34208",
            "telephone_number": "941-746-8108",
            "fax_number": "941-746-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIC 4 BRADENTON OAKS LEASING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "RYU",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT/CEO/CFO",
        "authorized_official_telephone_number": "212-479-5270"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "6662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bradenton Oaks Courtyard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thao Thanh Nguyen, D.M.D.
• Trang Mai Thi Nguyen, PHARMD
• Tri D Nguyen, M.D.
• Vincent Nguyen
• Yen Nguyen
• Nic 4 Summerfield Leasing LLC
• Stephen Peter Nicholas, M.D.
• Earl J Nichols, LMFT
• John Dale Nichols, D.C.
• Katherine E Nicholson, BSW

• Assisted Living Facility in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.