Nic 5 Forest Oaks Leasing LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

7179 Issued in FL

Legal business name

NIC 5 FOREST OAKS LEASING LLC

Doing business as

Forest Oaks of Spring Hill

Practice address

8055 Forest Oaks Blvd.
Spring Hill, FL 34606

Phone

(352) 683-3323

Fax

(352) 686-1465

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 identifiers 1

Other names 1

• Forest Oaks of Spring Hill 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": "1508200213",
    "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 FOREST 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": "8055 FOREST OAKS BLVD.",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "34606",
            "telephone_number": "352-683-3323",
            "fax_number": "352-686-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIC 5 FOREST 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": "7179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691830100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest Oaks of Spring Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Newport, M.D.
• Hoa Van Nguyen, DO
• Trang Nguyen
• Tuan Ngoc Nguyen, PHARMACIST
• VI Nguyen
• Laura Nichols, COTA/L
• Alivia Nicholson
• Alexis Kay Nicora-Doidge
• Nariman Niktash, MD
• Sarojini Nimmagadda, M.D.

• Assisted Living Facility in Spring Hill, FL
• Providers in Spring Hill, 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.