Active NPI
Sarasota Facility Operations LLC
- Skilled Nursing Facility
- Sarasota, FL
National Provider Identifier
1104849066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- SNF130470982
- Legal business name
- SARASOTA FACILITY OPERATIONS LLC
- Practice address
- 4783 Fruitville Rd
Sarasota, FL 34232-1815 - Phone
- (941) 378-8000
- Fax
- (941) 377-1454
- NPI assigned
- Jul 25, 2006
- 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
- Kenneth Ussery
- Title
- VP
- Phone
- (407) 571-1550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | SNF130470982 | FL | Primary |
Addresses
Primary practice location
4783 Fruitville Rd
Sarasota, FL 34232-1815
Mailing address
4783 Fruitville Rd
Sarasota, FL 34232-1815
Phone (941) 378-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008041300 | Medicaid | FL |
Other names 1
- NSPIRE Healthcare Sarasota
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | Consulate Healthcare |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640131200000",
"number": "1104849066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4783 FRUITVILLE RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342321815",
"telephone_number": "941-378-8000",
"fax_number": "941-377-1454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4783 FRUITVILLE RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342321815",
"telephone_number": "941-378-8000",
"fax_number": "941-377-1454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SARASOTA FACILITY OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-25",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A",
"authorized_official_last_name": "USSERY",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "407-571-1550"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "FL",
"license": "SNF130470982",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008041300",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "urn:oid:2.16.840.1.113883.3.5042",
"affiliationName": "Consulate Healthcare",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "800 Concourse Pkwy S Ste 200",
"city": "Maitland",
"state": "FL",
"country_code": "US",
"postal_code": "327516148",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "NSPIRE Healthcare Sarasota",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Sarasota Emergency Associates PA
- Sarasota Endoscopy ASC LLC
- Sarasota Endoscopy Center LP
- Sarasota Family Acupuncture
- Sarasota Family Medical Inc
- Sarasota Family Medical Walk-in Clinic and Diagnostic Center
- Sarasota Family Psychiatry, Inc.
- Sarasota Family YMCA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.