OrganizationActive
Nic 4 Sunset Lake Leasing
NPI 1285078659 · Assisted Living Facility · Venice, FL
Nic 4 Sunset Lake Leasing is a Assisted Living Facility organization in Venice, FL (NPI 1285078659).
Provider details
- NPI number
- 1285078659
- 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
- 9325 (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
1121 Jacaranda Blvd.
Venice, FL 34292
Phone: (941) 497-1117
Fax: (941) 492-3455
Street-level locationGet directions
Mailing address
C/O Holiday Retirement, Po Box 1700
Lake Oswego, OR 97035
Other names (DBA / former)
- Doing business as
- Sunset Lake Village
Registry dates
- Enumerated
- 2013-04-29
- Last updated
- 2016-12-01
Frequently asked questions
- What is Nic 4 Sunset Lake Leasing's NPI number?
- Nic 4 Sunset Lake Leasing's National Provider Identifier (NPI) is 1285078659, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nic 4 Sunset Lake Leasing?
- Nic 4 Sunset Lake Leasing is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Nic 4 Sunset Lake Leasing located?
- Nic 4 Sunset Lake Leasing's practice location on file with NPPES is 1121 Jacaranda Blvd., Venice, FL 34292.
- What is Nic 4 Sunset Lake Leasing's phone number?
- The practice phone number listed in the NPPES registry for Nic 4 Sunset Lake Leasing is (941) 497-1117.
- Who is the authorized official for Nic 4 Sunset Lake Leasing?
- The authorized official listed on Nic 4 Sunset Lake Leasing's NPPES record is Jane Ryu, President/Ceo/Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nic 4 Sunset Lake Leasing's NPI active?
- Yes — Nic 4 Sunset Lake Leasing's NPI (1285078659) is active in the NPPES registry as of the last update on 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.