Active NPI
Gulf Coast Health Care, Inc.
Doing business as The Inn at Sarasota Bay Club
- Skilled Nursing Facility
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- SNF16370968
- Legal business name
- GULF COAST HEALTH CARE, INC.
- Doing business as
- The Inn at Sarasota Bay Club
- Practice address
- 1303 N Tamiami TRL
Sarasota, FL 34236-2432 - Phone
- (941) 953-6949
- NPI assigned
- Nov 21, 2005
- Last updated
- Jun 28, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debra S. Sandberg, NHA NURSING HOME ADM
- Title
- Administrator
- Phone
- (941) 953-6949
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | SNF16370968 | FL | Primary |
Addresses
Primary practice location
1303 N Tamiami TRL
Sarasota, FL 34236-2432
Mailing address
1303 N Tamiami TRL
Sarasota, FL 34236-2432
Phone (941) 953-6949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 228621 | Medicaid | FL |
Other names 1
- The Inn at Sarasota Bay Club
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1023090453. Details of each certification follow.
Skilled nursing facility certification: CCN 106035
- Legal name
- GULF COAST HEALTH CARE INC
- Doing business as
- THE INN AT SARASOTA BAY CLUB
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jun 20, 2001
- Last certification
- Aug 15, 2024
- Beds
- 44
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Enrollment address
- 1303 N Tamiami TRL
The Inn at Sarasota Bay Club
Sarasota, FL 34236-2432 - Nursing home name
- INN AT SARASOTA BAY CLUB
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Inn at Sarasota Bay Club
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jun 20, 2001
- Medicare certification status
- Active
- Certified beds
- 44
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0980811 | Inn at Sarasota Bay Club,the | Certificate of waiver | Dec 4, 2026 |
National Provider Directory
National Provider DirectoryLocations
1226 N Tamiami Trl
Ste 302
Sarasota, FL 34236
1303 N Tamiami Trl
Sarasota, FL 34236
Phone (941) 366-7667
Ownership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Freedom Group of Sarasota Health Care Inc | 5% Or Greater Direct Ownership Interest | Jun 20, 2001 | 100% |
| Sandra Busby | Operational/Managerial Control | Nov 5, 2020 | |
| Sarasota Bay Club Management Company LLC | 5% Or Greater Indirect Ownership Interest | Jun 20, 2001 | 100% |
| Steven Roskamp | 5% Or Greater Direct Ownership Interest | Apr 13, 1999 | 5% |
| Corporate Officer | Apr 13, 1999 | ||
| Operational/Managerial Control | Jun 1, 1999 | ||
| Robert Goforth Roskamp | 5% Or Greater Direct Ownership Interest | Jun 1, 1999 | 63.16% |
| Corporate Director | Jun 1, 1999 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Sarasota, FL
- NPI 1023752185
Affiliated clinicians 7
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Sarasota, FL
- NPI 1427161066
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340841600000",
"number": "1023090453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 N TAMIAMI TRL",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342362432",
"telephone_number": "941-953-6949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 N TAMIAMI TRL",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342362432",
"telephone_number": "941-953-6949"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GULF COAST HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-21",
"last_updated": "2012-06-28",
"status": "A",
"authorized_official_last_name": "SANDBERG",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "941-953-6949",
"authorized_official_credential": "NHA NURSING HOME ADM"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "FL",
"license": "SNF16370968",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "228621",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Inn at Sarasota Bay Club",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sarasota, FL
- Gulf Coast Acupuncture Physicians
- Gulf Coast Chiropractic and Physical Therapy Center, PA
- Gulf Coast Cosmetic Surgery Center, Inc
- Gulf Coast Early Steps
- Gulf Coast Eye Center PA
- Gulf Coast Health Services Dba Right at Home (Right At Home)
- Gulf Coast Health Services LLC (Right at Home)
- Gulf Coast Health Travel and Immunization (Passport Health of Sarasota)
- Gulf Coast Hma Physician Management LLC (Gulf Coast Medical Group-Sarasota Primary Care)
- Gulf Coast Hma Physician Management LLC (GCMG-Urgent Care & Physician Offices (Oaks Plaza))
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.