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

Nic 5 Lake Morton Plaza Leasing LLC

Organization Assisted Living Facility · NPI 1801230206

Nic 5 Lake Morton Plaza Leasing LLC is an Assisted Living Facility in Lakeland, 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

400 S Florida Ave
Lakeland, FL 33801
Phone: (863) 683-1000
Fax: (863) 682-7854
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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 5308 (FL)

Record details

NPI number1801230206
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jane Ryu — President/Ceo/Cfo · (212) 479-5270
Other names Lake Morton Plaza
NPI enumeratedApril 29, 2013
Last updated in NPPESNovember 30, 2016
Mailing addressPo Box 1700 C/O Holiday Retirement, Nic 5 Lake Morton Plaza Leasing Llc, Lake Oswego, OR 97035

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