NPIMap

Organization Active NPI

Nic 4 Village Place Leasing LLC

Doing business as Village Place Retirement

  • Assisted Living Facility
  • Port Charlotte, FL
National Provider Identifier
1811331283
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
9249 Issued in FL
Legal business name
NIC 4 VILLAGE PLACE LEASING LLC
Doing business as
Village Place Retirement
Practice address
18400 Cochran Blvd.
Port Charlotte, FL 33948
Phone
(941) 766-8900
Fax
(941) 766-8224
NPI assigned
Apr 29, 2013
Last updated
Nov 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 9249 FL Primary

Addresses

Primary practice location

18400 Cochran Blvd.
Port Charlotte, FL 33948

Mailing address

PO Box 1700 C/O Holiday Retirement
Nic 4 Village Place Leasing LLC
Lake Oswego, OR 97035
Phone (971) 245-8020

Other names 1

  • Village Place Retirement Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1811331283",
    "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 VILLAGE PLACE 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": "18400 COCHRAN BLVD.",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "33948",
            "telephone_number": "941-766-8900",
            "fax_number": "941-766-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIC 4 VILLAGE PLACE LEASING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2016-11-22",
        "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": "9249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Place Retirement",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.