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

Nic 4 the Grande Leasing LLC

Organization Assisted Living Facility · NPI 1689018301

Nic 4 the Grande Leasing LLC is an Assisted Living Facility in Brooksville, 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

725 Desoto Ave
Brooksville, FL 34601
Phone: (352) 544-0944
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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 11732 (FL)

Record details

NPI number1689018301
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jane Ryu — President/Ceo/Cfo · (212) 479-5270
Other names The Grande
NPI enumeratedApril 24, 2013
Last updated in NPPESDecember 1, 2016
Mailing addressPo Box 1700 C/O Holiday Retirement, Nic 4 The Grande Leasing Llc, Lake Oswego, OR 97035

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