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

Nic 4 Royal Palm Leasing LLC

Organization Assisted Living Facility · NPI 1619318219

Nic 4 Royal Palm Leasing LLC is an Assisted Living Facility in Port Charlotte, 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

2500 Aaron St
Port Charlotte, FL 33952
Phone: (941) 627-6762
Fax: (941) 627-9890
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 3915 (FL)

Record details

NPI number1619318219
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jane Ryu — President/Ceo/Cfo · (212) 479-5270
Other names Royal Palm Retirement Centre
NPI enumeratedJuly 11, 2013
Last updated in NPPESDecember 1, 2016
Mailing addressPo Box 1700, Nic 4 Royal Palm Leasing Llc, C/O Holiday Retirement, Lake Oswego, OR 97035

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