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

Nic 4 Bayside Terrace Leasing LLC

Organization Assisted Living Facility · NPI 1528402229

Nic 4 Bayside Terrace Leasing LLC is an Assisted Living Facility in Pinellas Park, 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

9381 U.s 19
Pinellas Park, FL 33782
Phone: (727) 576-1234
Fax: (727) 570-2257
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 6139 (FL)

Record details

NPI number1528402229
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jane Ryu — President/Ceo/Cfo · (212) 479-5270
Other names Bayside Terrace
NPI enumeratedApril 24, 2013
Last updated in NPPESDecember 8, 2016
Mailing addressPo Box 1700, Nic 4 Bayside Terrace Leasing Llc, C/O Holiday Retirement, Lake Oswego, OR 97035

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