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

Nic 4 Sunset Lake Leasing

Organization Assisted Living Facility · NPI 1285078659

Nic 4 Sunset Lake Leasing is an Assisted Living Facility in Venice, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013

Practice location Address checks out

1121 Jacaranda Blvd
Venice, FL 34292
Phone: (941) 497-1117
Fax: (941) 492-3455
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 9325 (FL)

Record details

NPI number1285078659
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jane Ryu — President/Ceo/Cfo · (212) 479-5270
Other names Sunset Lake Village
NPI enumeratedApril 29, 2013
Last updated in NPPESDecember 1, 2016
Mailing addressC/O Holiday Retirement, Po Box 1700, Nic 4 Sunset Lake Leasing, Lake Oswego, OR 97035

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