Nic 4 Summerfield Leasing LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

7239 Issued in FL

Legal business name

NIC 4 SUMMERFIELD LEASING LLC

Doing business as

Summerfield Retirement

Practice address

3409 26TH St. W.
Bradenton, FL 34205

Phone

(941) 751-7200

Fax

(941) 751-7275

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

• Summerfield Retirement 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": "1480464000000",
    "number": "1780028415",
    "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 SUMMERFIELD 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": "3409 26TH ST. W.",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34205",
            "telephone_number": "941-751-7200",
            "fax_number": "941-751-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIC 4 SUMMERFIELD LEASING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "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": "7239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summerfield Retirement",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trang Mai Thi Nguyen, PHARMD
• Tri D Nguyen, M.D.
• Vincent Nguyen
• Yen Nguyen
• Nic 4 Bradenton Oaks Leasing LLC
• Stephen Peter Nicholas, M.D.
• Earl J Nichols, LMFT
• John Dale Nichols, D.C.
• Katherine E Nicholson, BSW
• Rebecca Anne Nickens-Warren, APRN

• 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 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.