Sunset Lake Village

LBN: Nic 4 Sunset Lake Leasing
Sunset Lake Village is an health care organization with primary practice located at 1121 Jacaranda Blvd. , Venice FL 34292. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Nic 4 Sunset Lake Leasing can be contacted via phone (941) 497-1117, or through Ryu, Jane via phone (212) 479-5270.

Contact Information

Primary practice address
1121 Jacaranda Blvd. Venice FL 34292
Phone: (941) 497-1117
Fax: (941) 492-3455
Website:
Map and Directions
Authorized official contact:
Name: Ryu, Jane
Phone: (212) 479-5270

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 9325 Florida

Profile Details

NPI number 1285078659
LBN Legal business name Nic 4 Sunset Lake Leasing
DBA Doing business as Sunset Lake Village
Authorized official Ryu, Jane
Entity Organization
Organization subpart 1 No
Enumeration date Apr 29th, 2013
Last updated Dec 1st, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285078659 NPPES
Florida Other 003067300 MEDICAID AGED/DISABLED ADULTS

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