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

Nic 4 Emerald Park Retirement Leasing LLC

Organization Assisted Living Facility · NPI 1154765857

Nic 4 Emerald Park Retirement Leasing LLC is an Assisted Living Facility in Hollywood, 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

5770 Stirling Rd
Hollywood, FL 33021
Phone: (954) 987-5400
Fax: (954) 987-4942
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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 9431 (FL)

Record details

NPI number1154765857
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jane Ryu — President/Ceo/Cfo · (212) 479-5270
Other names Emerald Park Retirement
NPI enumeratedApril 24, 2013
Last updated in NPPESDecember 1, 2016
Mailing addressPo Box 1700 C/O Holiday Retirement, Nic 4 Emerald Park Retirement Leasing Llc, Lake Oswego, OR 97035

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