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

Nic 4 the Plaza Leasing LLC

Organization Assisted Living Facility · NPI 1659715027

Nic 4 the Plaza Leasing LLC is an Assisted Living Facility in Pembroke 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

3535 SW 52nd Ave
Pembroke Park, FL 33801
Phone: (954) 961-8111
Fax: (954) 964-2871
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 5120 (FL)

Record details

NPI number1659715027
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jane Ryu — President/Ceo/Cfo · (212) 479-5270
Other names The Plaza At Pembroke Park
NPI enumeratedApril 29, 2013
Last updated in NPPESDecember 1, 2016
Mailing addressPo Box 1700, Nic 4 The Plaza Leasing Llc, C/O Holiday Retirement, Lake Oswego, OR 97035

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