OrganizationActive
Nic 4 Emerald Park Retirement Leasing LLC
NPI 1154765857 · Assisted Living Facility · Hollywood, FL
Provider details
- NPI number
- 1154765857
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jane Ryu, President/Ceo/Cfo(212) 479-5270
- License
- 9431 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5770 Stirling Rd.
Hollywood, FL 33021
Phone: (954) 987-5400
Fax: (954) 987-4942
Street-level locationGet directions
Mailing address
Po Box 1700 C/O Holiday Retirement
Lake Oswego, OR 97035
Other names (DBA / former)
- Doing business as
- Emerald Park Retirement
Registry dates
- Enumerated
- 2013-04-24
- Last updated
- 2016-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.