Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nic 4 Balmoral Leasing LLC

Organization Assisted Living Facility · NPI 1720422405

Nic 4 Balmoral Leasing LLC is an Assisted Living Facility in Lake Placid, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

93 Balmoral Dr
Lake Placid, FL 33852
Phone: (863) 465-6584
Fax: (863) 465-6585
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 11307 (FL)

Record details

NPI number1720422405
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jane Ryu — President/Ceo/Cfo · (212) 479-5270
Other names Balmoral Assisted Living
NPI enumeratedApril 24, 2013
Last updated in NPPESNovember 30, 2016
Mailing addressPo Box 1700, Nic 4 Balmoral Leasing Llc, C/O Holiday Retirement, Lake Oswego, OR 97035

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