VILLAGE PLACE RETIREMENT – NPI #1811331283
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.

VILLAGE PLACE RETIREMENT is an assisted living facility located in PORT CHARLOTTE, FL. NPPES has assigned the NPI number 1811331283 to VILLAGE PLACE RETIREMENT on April 29, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “VILLAGE PLACE RETIREMENT” is a dba name, the actual legal business name for this organization is NIC 4 VILLAGE PLACE LEASING LLC. The primary taxonomy selected by this provider is 310400000X from the Health Care Provider Taxonomy code set, which is classified as Assisted Living Facility.

The NPI profile was previously updated about 10 years ago on Nov 22, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VILLAGE PLACE RETIREMENT below.

NPI Profile for
NIC 4 VILLAGE PLACE LEASING LLC

NPI Number
1811331283
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NIC 4 VILLAGE PLACE LEASING LLC
Doing Business As (dba): VILLAGE PLACE RETIREMENT
Primary location
18400 COCHRAN BLVD.
PORT CHARLOTTE, FL 33948
Phone: (941) 766-8900 Fax: (941) 766-8224
Mailing address
PO BOX 1700 C/O HOLIDAY RETIREMENT
NIC 4 VILLAGE PLACE LEASING LLC
LAKE OSWEGO, OR 97035
Phone: (971) 245-8020 Fax: (503) 431-2295
Organization Subpart
No
Authorized Official
JANE RYU
PRESIDENT/CEO/CFO
Phone: (212) 479-5270
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
310400000X
- Assisted Living Facility (Primary)
FL 9249

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.