EMERALD PARK RETIREMENT
NPI 1154765857
Assisted Living Facility in Hollywood, FL

Q: What is Nic 4 Emerald Park Retirement Leasing LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since April 24, 2013

5770 STIRLING RD., HOLLYWOOD, FL 33021(954) 987-5400(954) 987-4942 Get Directions Write a Review

NPPES record last updated: December 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Emerald Park Retirement NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMERALD PARK RETIREMENT (NPI 1154765857) is a healthcare organization registered as an assisted living facility in Hollywood, Florida and active in the NPI registry since April 2013. The organization lists Jane Ryu, President/ceo/cfo, as its authorized official.

NPPES Registry Identity

NPI1154765857

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameNIC 4 EMERALD PARK RETIREMENT LEASING LLC

Location Address5770 STIRLING RD.Hollywood, FL 33021

Mailing AddressPo Box 1700 C/o Holiday Retirement, Nic 4 Emerald Park Retirement Leasing LlcLake Oswego, OR 97035 · (971) 245-8020 · Fax (503) 431-2295

Phone(954) 987-5400

Fax(954) 987-4942

Organization SubpartNo

Authorized OfficialJane RyuPresident/ceo/cfo · (212) 479-5270

Enumeration DateApril 24, 2013

Last NPPES UpdateDecember 1, 2016

✔ NPI 1154765857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in FL · 9431

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.

5770 STIRLING RD., Hollywood, FL 33021

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Other Names 1

Doing Business AsEmerald Park Retirement

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nic 4 Emerald Park Retirement Leasing LLC's NPI number?

The NPI number for Nic 4 Emerald Park Retirement Leasing LLC is 1154765857. It was assigned to this organization in the NPPES registry on April 24, 2013. The provider is doing business as Emerald Park Retirement.

Where is Nic 4 Emerald Park Retirement Leasing LLC located?

Nic 4 Emerald Park Retirement Leasing LLC is located at 5770 Stirling Rd., Hollywood, FL 33021. The listed phone number is (954) 987-5400.

What is Nic 4 Emerald Park Retirement Leasing LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Nic 4 Emerald Park Retirement Leasing LLC was last updated on December 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.