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Nic 4 Sunset Lake Leasing

Assisted Living Facility in Venice, FL · enumerated 2013 · authorized official Jane Ryu, President/Ceo/Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1285078659

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Registry record

Entity type Organization (Type 2)
Legal business name Nic 4 Sunset Lake Leasing
Other name <Unavail>
Practice address 1121 Jacaranda Blvd., Venice, FL, 34292
Phone (941) 497-1117
Fax (941) 492-3455
Enumeration date Apr 29, 2013
Last updated in NPPES Dec 1, 2016

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License 9325 (FL) Primary

Authorized official

Name Jane Ryu
Title President/Ceo/Cfo
Phone (212) 479-5270

Other identifiers

Identifier Type State Issuer
003067300 Other FL MEDICAID AGED/DISABLED ADULTS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-12-01. Verify at npiregistry.cms.hhs.gov.
Where is Nic 4 Sunset Lake Leasing located?
The practice location on file with NPPES is in Venice, FL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-12-01.