NPIMap

Organization Active NPI

HCA Health Services of Florida, Inc.

  • General Acute Care Hospital
  • Bradenton, FL
National Provider Identifier
1114964244
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
HCA HEALTH SERVICES OF FLORIDA, INC.
Practice address
2020 59TH St W
Bradenton, FL 34209-4604
Phone
(941) 792-6611
Fax
(941) 798-6209
NPI assigned
May 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas A Smith
Title
Cfo
Phone
(941) 798-6114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

2020 59TH St W
Bradenton, FL 34209-4604

Mailing address

2020 59TH St W
Bradenton, FL 34209-4604
Phone (941) 792-6611

Other identifiers 15

IdentifierTypeStateIssuer
21164OtherGAWELLCARE
404862948MedicaidMI
560015OtherAETNA
840875575BMedicaidGA
000030949OtherFLHUMANA
000593832XMedicaidGA
032080500OtherBLACK LUNG
21164OtherWELLCARE/STAYWELL
567OtherFLBLUE CROSS
011021300MedicaidFL
02847809MedicaidNY
304862909MedicaidMI
11681BMedicaidSC
100213MedicaidTN
1517234OtherPAGATEWAY HEALTH

Other names 1

  • HCA Florida Blake Hospital Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network
Direct Messaging Address BLAKE.COCLW.FLG@CCDA.HCADIRECT.NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071120000270 FL Part A Provider - Hospital 5890773824 Practice locations: Bradenton, FL; Palmetto, FL

Hospital certification: CCN 100213

Legal name
HCA HEALTH SERVICES OF FLORIDA INC
Doing business as
HCA FLORIDA BLAKE HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jan 1, 1980
Last certification
Jun 15, 2001
Beds
383
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Mar 1, 1993 in FL
Enrollment address
2020 59TH St W
Bradenton, FL 34209-4604
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
HCA Florida Blake HospitalCCN 100213
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Copenhaver Bell15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Interoperability endpoints

  • Direct secure messaging: blake.coclw.flg@ccda.hcadirect.net

Ownership & related parties

All disclosed owners & managing parties 47

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael McAlevey Individual Corporate OfficerOfficer Feb 1, 2022
HCA Squared LLC Organization, Nashville, TN For-profit 5% Or Greater Indirect Ownership Interest Oct 24, 2011 26.22%
Jaime L Derensis Individual Corporate OfficerVP & Asst Secretary Nov 4, 2020
Richard Read Individual Corporate OfficerVice President Jan 1, 2023
HCA Inc Organization, Nashville, TN For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Aug 24, 2011 100%
John M Franck Individual Corporate Officer Aug 24, 2011
Corporate Director Aug 24, 2011
Kenneth Wicker Individual Corporate OfficerVice President Apr 25, 2022
Jyric E Sims Individual Corporate OfficerDivision President/Sr VP Jun 12, 2023
Douglas L Downey Individual Corporate Officer Apr 7, 2014
Eric D Smith Individual W-2 Managing EmployeeVP Reimbursement/Home Office Admini Mar 6, 2021
HCA Healthcare Inc Organization, Nashville, TN For-profit 5% Or Greater Indirect Ownership Interest Aug 24, 2011 100%
Henry Todd Maxwell Individual Corporate OfficerVice President Jan 1, 2024
Frisco Holding II Organization, Wilmington, DE Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 6, 2026 16.3%
Christopher F Wyatt Individual Corporate Officer Apr 18, 2016
Corporate Director Apr 18, 2016
John I Starling Individual Corporate Officer Oct 7, 2019
Shirley E Scharf-Cheatham Individual Corporate Officer Jan 1, 2010
Richard Hammett Individual Corporate OfficerSenior Vice President Jan 1, 2023
John M Hackett Individual Corporate Officer Apr 18, 2016
Thomas Smith Individual Corporate OfficerHospital Cfo Aug 13, 2012
Operational/Managerial ControlCfo Aug 13, 2012
Hercules Holding II Organization, Nashville, TN Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 6, 2026 14.4%
Samuel N Hazen Individual Corporate Officer Aug 24, 2011
Corporate Director Aug 24, 2011
Corey Lovelace Individual Corporate OfficerVice President May 22, 2023
Phillip M Baker Individual Corporate OfficerDivision Cfo Apr 29, 2019
Sarah Seymour Individual Corporate OfficerCeo Sep 1, 2023
Stephen Young Individual Corporate OfficerHospital Ceo Sep 25, 2023
Operational/Managerial ControlHospital Ceo Sep 25, 2023
Ronald Lee Grubbs Individual Corporate Officer Jan 1, 2010
Monica Cintado Individual Corporate OfficerOfficer Oct 7, 2019
Jon Foster Individual Corporate OfficerSenior Vice President Jan 1, 2023
Healthtrust Inc - the Hospital Company Organization, Nashville, TN For-profit 5% Or Greater Indirect Ownership Interest Aug 24, 2011 100%
Galen Holdco LLC Organization, Nashville, TN For-profit 5% Or Greater Indirect Ownership Interest Aug 24, 2011 23.93%
Hospital Corp LLC Organization, Nashville, TN For-profit 5% Or Greater Indirect Ownership Interest Aug 24, 2011 26.22%
Seth a Killingbeck Individual Corporate Officer Apr 5, 2013
Ricardo Pavon Individual Corporate OfficerVice President Nov 4, 2020
Timothy Scott Noonan Individual Corporate Officer Apr 5, 2013
Natalie H Cline Individual Corporate Officer Apr 5, 2013
Michael T Bray Individual Corporate Officer Jan 1, 2010
Matthew R Favicchio Individual Corporate OfficerVice President Sep 5, 2025
Peter J Rossell Individual Corporate OfficerVice President Jan 1, 2023
Charles E Gressle Individual Corporate OfficerSenior Vice President Dec 1, 2019
Michael a Marks Individual Corporate OfficerSenior Vice President Sep 5, 2025
Edwin W Robinson Individual Corporate OfficerVice President Sep 5, 2025
Brad Ej Spicer Individual Corporate OfficerVice President Jan 1, 2023
Kevin a Ball Individual Corporate Officer Apr 7, 2014
Jeffery McInturff Individual Corporate Officer Nov 29, 2021
Healthserv Acquisition LLC Organization, Nashville, TN For-profit 5% Or Greater Indirect Ownership Interest Aug 24, 2011 36.28%
Deborah H Mullin Individual Corporate Officer Jan 1, 2010
Tampa Bay Health System Inc Organization, Nashville, TN For-profit 5% Or Greater Direct Ownership Interest Aug 24, 2011 100%

Facilities with the same owner 200

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 423

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

View all 423

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1114964244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094604",
            "telephone_number": "941-792-6611",
            "fax_number": "941-798-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094604",
            "telephone_number": "941-792-6611",
            "fax_number": "941-798-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCA HEALTH SERVICES OF FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "941-798-6114"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "21164",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404862948",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "560015",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "840875575B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "000030949",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000593832X",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "032080500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE/STAYWELL",
            "identifier": "21164",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "567",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011021300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02847809",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304862909",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11681B",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100213",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH",
            "identifier": "1517234",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BLAKE.COCLW.FLG@CCDA.HCADIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "Please contact CORP.HCACEP@HCAHealthcare.com for information regarding validation steps that may be required to ensure CCDs sent to the listed direct address are successfully received.",
            "address_1": "2020 59th St W",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342094604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HCA Florida Blake Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.