NIC 4 VILLAGE PLACE LEASING LLC (NPI# 1811331283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811331283 |
| Entity Type | Organization |
| Organization Name | NIC 4 VILLAGE PLACE LEASING LLC |
| Other Organization Name | VILLAGE PLACE RETIREMENT |
| Practice Address |
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 |
| Practice Telephone | 9417668900 |
| Practice Fax Number | 9417668224 |
| Mailing Telephone | 9712458020 |
| Mailing Fax Number | 5034312295 |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2016-11-22 |
| Authorized Official Name | JANE RYU (PRESIDENT/CEO/CFO) |
| Authorized Official Telephone | 2124795270 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 9249 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Village Place Retirement | Doing Business As Name - Organization |
| Street Address |
18400 COCHRAN BLVD. |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926705 | Kelli Sue Boley | Pharmacist | 19100 Murdock Circle, Port Charlotte, FL 33948 | 2019-11-14 |
| 1013469709 | Daria Erdmann | Counselor | 1720 El Jobean Rd Unit 200, Port Charlotte, FL 33948 | 2016-10-27 |
| 1699172270 | Best Hearing Aid Solutions, Inc | Hearing Instrument Specialist | 1931 Tamiami Tr #7, Port Charlotte, FL 33948 | 2014-11-26 |
| 1215277686 | Sarah Anne Baker | Physical Therapy Assistant | 18480 Corcoran Blvd., Port Charlotte, FL 33948 | 2013-02-22 |
| 1023362373 | Clement Gustavous Smith | Adult Companion | 3081 Jody Street, Port Charlotte, FL 33948 | 2012-11-07 |
| 1306106232 | Charlotte County Family Ymca, Inc | Physical Therapist | 19333 Quesada Ave, Port Charlotte, FL 33948 | 2012-05-25 |
| 1043529738 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 3280 Tamiami Trail # 56, Port Charlotte, FL 33948 | 2010-09-29 |
| 1508099847 | Victoria Lynn Wagner | Hearing Instrument Specialist | 1441 Tamiami Trail, #491, Port Charlotte, FL 33948 | 2009-09-03 |
| 1902060601 | Domingo E Galliano Jr Pa | Surgery | 18308 Murdock Circle 108, Domingo E Galliano Jr Md Pa, Port Charlotte, FL 33948 | 2008-07-11 |
| 1194904862 | Associates In Dentistry | Dentist | 18000 Toledo Blade Blvd, Port Charlotte, FL 33948 | 2007-10-30 |
| Find all providers in zip 33948 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891331427 | Bubbsh LLC | Assisted Living Facility | 370 Blarney St, Port Charlotte, FL 33954-3751 | 2019-11-19 |
| 1619318219 | Nic 4 Royal Palm Leasing LLC | Assisted Living Facility | 2500 Aaron St., Port Charlotte, FL 33952 | 2013-07-11 |
| 1841533122 | Royal Palm Retirement, LLC | Assisted Living Facility | 2500 Aaron St, Port Charlotte, FL 33952-6743 | 2013-04-04 |
| 1194090803 | Family Home Care II, Inc. | Assisted Living Facility | 1222 Zinnea St, Port Charlotte, FL 33952-1538 | 2012-03-13 |
| 1164791497 | Caring Hearts Alf | Assisted Living Facility | 21000 Midway Blvd, Port Charlotte, FL 33952-2451 | 2011-12-15 |
| 1861775603 | Snh Se Tenant Trs, Inc | Assisted Living Facility | 20480 Veterans Blvd, Port Charlotte, FL 33954-2264 | 2011-09-27 |
| 1851695399 | Family Extended Care of Punta Gorda, Inc | Assisted Living Facility | 22332 Vick St, Port Charlotte, FL 33980-2053 | 2010-12-24 |
| 1245532621 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 18440 Cochran Blvd, Port Charlotte, FL 33948-3339 | 2010-11-17 |
| 1245436773 | Port Charolette Alf, LLC | Assisted Living Facility | 18400 Cochran Blvd, Port Charlotte, FL 33948-3343 | 2007-06-22 |
| 1487282349 | Mg Port Charlotte I Subtenant LLC | Assisted Living Facility | 2500 Aaron St, Port Charlotte, FL 33952-6743 | 2020-03-27 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33948 |
Please comment or provide details below to improve the information on NIC 4 VILLAGE PLACE LEASING LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.