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

Nic 4 Village Place Leasing LLC

Organization Assisted Living Facility · NPI 1811331283

Nic 4 Village Place 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

18400 Cochran Blvd
Port Charlotte, FL 33948
Phone: (941) 766-8900
Fax: (941) 766-8224
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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 9249 (FL)

Record details

NPI number1811331283
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jane Ryu — President/Ceo/Cfo · (212) 479-5270
Other names Village Place Retirement
NPI enumeratedApril 29, 2013
Last updated in NPPESNovember 22, 2016
Mailing addressPo Box 1700 C/O Holiday Retirement, Nic 4 Village Place Leasing Llc, Lake Oswego, OR 97035

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