Nic 4 the Grande Leasing LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

11732 Issued in FL

Legal business name

NIC 4 THE GRANDE LEASING LLC

Practice address

725 Desoto Avenue
Brooksville, FL 34601

Phone

(352) 544-0944

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

• The Grande 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": "1689018301",
    "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 THE GRANDE 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": "725 DESOTO AVENUE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "34601",
            "telephone_number": "352-544-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIC 4 THE GRANDE 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": "11732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Grande",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Newsom Eye & Laser Center, Inc.
• Bao Hoai Nguyen, PHARMD
• Catherine Nguyen, MD
• Hoang Anh Xuan Nguyen
• Nic 4 Spring Oaks Leasing LLC
• Tamara Leigh Nickerson, CPHT
• Dalila Nieves-Hossler, MD
• Mahmoud Abdelfattah Nimer, M.D.
• Dennis Anthony Niner, M.D.
• Seema Nishat, 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 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.