NIC 4 SUMMERFIELD LEASING LLC


Address: 3409 26th St. W., Bradenton, FL 34205
Phone: 9417517200

NIC 4 SUMMERFIELD LEASING LLC (NPI# 1780028415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780028415
Entity Type Organization
Organization Name NIC 4 SUMMERFIELD LEASING LLC
Other Organization Name SUMMERFIELD RETIREMENT
Practice Address 3409 26th St. W.
Bradenton
FL 34205
Mailing Address Po Box 1700 C/o Holiday Retirement
Nic 4 Summerfield Leasing LLC
Lake Oswego
OR 97035
Practice Telephone 9417517200
Practice Fax Number 9417517275
Mailing Telephone 9712458020
Mailing Fax Number 5034312295
Enumeration Date 2013-04-24
Last Update Date 2016-11-30
Authorized Official Name JANE RYU (PRESIDENT/CEO/CFO)
Authorized Official Telephone 2124795270
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility 7239 FL Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Summerfield Retirement Doing Business As Name - Organization

Office Location

Street Address 3409 26TH ST. W.
City BRADENTON
State FL
Zip Code 34205

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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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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
1164866869 Nic 4 Bradenton Oaks Leasing LLC Assisted Living Facility 1015 7th Ave East, Bradenton, FL 34208 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
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Competitor

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City BRADENTON
Zip Code 34205

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Dataset Information

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.

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