NIC 4 BRADENTON OAKS LEASING LLC (NPI# 1164866869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164866869 |
| Entity Type | Organization |
| Organization Name | NIC 4 BRADENTON OAKS LEASING LLC |
| Other Organization Name | BRADENTON OAKS COURTYARD |
| Practice Address |
1015 7th Ave East Bradenton FL 34208 |
| Mailing Address |
Po Box 1700 C/o Holiday Retirement Nic 4 Bradenton Oaks Leasing LLC Lake Oswego OR 97035 |
| Practice Telephone | 9417468108 |
| Practice Fax Number | 9417468366 |
| Mailing Telephone | 9712458020 |
| Mailing Fax Number | 5034312295 |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2016-12-01 |
| Authorized Official Name | JANE RYU (PRESIDENT/CEO/CFO) |
| Authorized Official Telephone | 2124795270 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 6662 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Bradenton Oaks Courtyard | Doing Business As Name - Organization |
| Street Address |
1015 7TH AVE EAST |
| City | BRADENTON |
| State | FL |
| Zip Code | 34208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880566 | Michael Gerard Kulikowski | Pharmacist | 6225 E Sr 64, Bradenton, FL 34208 | 2020-10-30 |
| 1104431964 | Genesis Carrillo | Pharmacist | 4210 E, Fl-64, Bradenton, FL 34208 | 2020-09-09 |
| 1962960146 | Elite Surgery Center, LLC | Plastic Surgery | 5301 4th Ave Circle E, Bradenton, FL 34208 | 2019-03-07 |
| 1740777101 | Chinelo Uche | Student in an Organized Health Care Education/Training Program | 206 2nd St. E, Brandenton, FL 34208 | 2018-04-20 |
| 1396240040 | Nicholas Guy Ross | Student in an Organized Health Care Education/Training Program | 206 2nd St E., Bradenton, FL 34208 | 2018-03-26 |
| 1881196566 | Pinnacle Dental, Inc | Dentist | 5220 4th Ave. Circle E., Bradenton, FL 34208 | 2018-03-08 |
| 1194240176 | Bradenton Community Acupuncture | Acupuncturist | 5245 Office Park Blvd Suite 103, Bradenton, FL 34208 | 2017-08-10 |
| 1316490147 | Loretta Michele Deloach | Counselor | 515 27th St. S., Ste. 3, Bradenton, FL 34208 | 2016-07-28 |
| 1730548934 | Elodie Chimuanya Epane Kamdem | Dentist | Bright Now Dentalst, 650, 3611 1st Street, Suiyr, Bradenton, FL 34208 | 2016-02-16 |
| 1215303920 | Lesley Ann White | Driver | 45 Palmwood, Bradenton, FL 34208 | 2015-08-17 |
| Find all providers in zip 34208 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992250633 | Resident Care Prime Consultants, LLC | Assisted Living Facility | 1801 51st St W, Bradenton, FL 34209-5031 | 2016-08-23 |
| 1518334648 | Twin Angels Assisted Living Facility | Assisted Living Facility | 323 49th St Nw, Bradenton, FL 34209-1922 | 2015-08-24 |
| 1447650528 | Lisa Bryan | Assisted Living Facility | 5015 29th Ave W, Bradenton, FL 34209-6119 | 2014-08-26 |
| 1467862276 | Dorcas House | Assisted Living Facility | 2601 13th Ave W, Bradenton, FL 34205-4030 | 2014-05-01 |
| 1255766697 | Oaks Bradenton Trs, LLC | Assisted Living Facility | 2614 43rd St W, Bradenton, FL 34209-6212 | 2013-09-04 |
| 1053751693 | 60th Avenue Alf, LLC | Assisted Living Facility | 2800 60th Ave W, Bradenton, FL 34207-4324 | 2013-06-27 |
| 1780028415 | Nic 4 Summerfield Leasing LLC | Assisted Living Facility | 3409 26th St. W., Bradenton, FL 34205 | 2013-04-24 |
| 1295072262 | Neuro International LLC | Assisted Living Facility | 7015 32nd Ave E, Bradenton, FL 34208-6755 | 2013-01-11 |
| 1144582461 | Waters Edge of Bradeton | Assisted Living Facility | 2015 32nd Ave W, Bradenton, FL 34205-4505 | 2012-06-12 |
| 1841568961 | Rudy's Agape House, LLC | Assisted Living Facility | 5426 18th St W, Bradenton, FL 34207-3305 | 2011-12-03 |
| Find all providers in BRADENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.