Nic 4 Spring Oaks Leasing LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

10763 Issued in FL

Legal business name

NIC 4 SPRING OAKS LEASING LLC

Doing business as

Spring Oaks

Practice address

7251 Grove Road
Brooksville, FL 34613

Phone

(352) 592-1150

Fax

(352) 592-2205

NPI assigned

Apr 29, 2013

Last updated

Nov 30, 2016By 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

Jane Ryu

Title

President/Ceo/Cfo

Phone

(212) 479-5270

Specialties & licenses 1

Addresses

Other names 1

• Spring Oaks Doing business as

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1356785745",
    "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 SPRING 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": "7251 GROVE ROAD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "34613",
            "telephone_number": "352-592-1150",
            "fax_number": "352-592-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIC 4 SPRING OAKS LEASING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2016-11-30",
        "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": "10763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Oaks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Bao Hoai Nguyen, PHARMD
• Catherine Nguyen, MD
• Hoang Anh Xuan Nguyen
• Nic 4 the Grande Leasing LLC (The Grande)
• Tamara Leigh Nickerson, CPHT
• Dalila Nieves-Hossler, MD
• Mahmoud Abdelfattah Nimer, M.D.
• Dennis Anthony Niner, M.D.

• Assisted Living Facility in Brooksville, FL
• Providers in Brooksville, 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 Nov 30, 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.