Organization Active NPI

Gulf Coast Health Care, Inc.

Doing business as The Inn at Sarasota Bay Club

  • Skilled Nursing Facility
  • Sarasota, FL
National Provider Identifier
1023090453
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF16370968 Issued in FL
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
228621MedicaidFL

Other names 1

  • The Inn at Sarasota Bay Club Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120608000153 FL Part A Provider - Skilled Nursing Facility 1254595937 Practice locations: Sarasota, FL
O20230524000690 FL Part B Supplier - Clinic/Group Practice 1254595937 Receives reassigned benefits from 1 practitioner
Practice locations: Sarasota, FL

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
CorporationProprietary
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 ClubCCN 106035 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 20, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4425.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0980811Inn at Sarasota Bay Club,the1303 N Tamiami Trail, Sarasota, FL 34236Certificate of waiverDec 4, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Freedom Group of Sarasota Health Care Inc Organization, Sarasota, FL Created for acquisition, Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 20, 2001 100%
Sandra Busby Individual Operational/Managerial Control Nov 5, 2020
Sarasota Bay Club Management Company LLC Organization, Sarasota, FL LLC, Management services company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 20, 2001 100%
Steven Roskamp Individual 5% Or Greater Direct Ownership Interest Apr 13, 1999 5%
Corporate OfficerPresident Apr 13, 1999
Operational/Managerial Control Jun 1, 1999
Robert Goforth Roskamp Individual 5% Or Greater Direct Ownership InterestGeneral Partner Jun 1, 1999 63.16%
Corporate DirectorGeneral Partner 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.

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.