Active NPI
Pines of Sarasota Healthcare, LLC
Doing business as Pines of Sarasota
- Skilled Nursing Facility
- Sarasota, FL
National Provider Identifier
1164893194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- SNF1443095
- Legal business name
- PINES OF SARASOTA HEALTHCARE, LLC
- Doing business as
- Pines of Sarasota
- Practice address
- 1501 N Orange Ave
Sarasota, FL 34236-2631 - Phone
- (941) 365-0250
- Fax
- (941) 365-4121
- NPI assigned
- Oct 16, 2015
- 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
- Mike Ward
- Title
- President/Ceo
- Phone
- (941) 365-0250
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 7450 | FL | |
| Skilled Nursing Facility | 314000000X | SNF1443095 | FL | Primary |
Addresses
Primary practice location
1501 N Orange Ave
Sarasota, FL 34236-2631
Mailing address
1501 N Orange Ave
Sarasota, FL 34236-2631
Phone (941) 365-0250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015910900 | Medicaid | FL |
Other names 1
- Pines of Sarasota
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151221000217 | FL | Part A Provider - Skilled Nursing Facility | 5799086534 | Practice locations: Sarasota, FL |
Skilled nursing facility certification: CCN 105147
- Legal name
- PINES OF SARASOTA HEALTHCARE LLC
- Doing business as
- PINES OF SARASOTA
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 27, 1967
- Last certification
- May 2, 2024
- Beds
- 204 (171 certified)
- Ownership / control type
- Nonprofit Corporation
- Most recent change of ownership
- Dec 21, 2015
- Organization structure
- LLC
- Incorporated
- Oct 7, 2015 in FL
- Enrollment address
- 1501 N Orange Ave
Sarasota, FL 34236-2631 - Nursing home name
- PINES OF SARASOTA
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Pines of Sarasota
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jul 27, 1967
- Medicare certification status
- Active
- Certified beds
- 171
National Provider Directory
National Provider Directory- Tax ID family
- Pines of Sarasota
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Pines of Sarasota
- Assisted Living Facility
- Sarasota, FL
- NPI 1679065122
-
- Assisted Living Facility
- Sarasota, FL
- NPI 1528052321
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
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 |
|---|---|---|---|
| Bruce Blake | Operational/Managerial Control | May 16, 2018 | |
| Adp of the SNF | May 16, 2018 | ||
| Pines of Sarasota Management Corporation | Limited Partnership Interest | Oct 6, 2015 | 100% |
| David Robert Anthony | Operational/Managerial Control | Dec 14, 2020 | |
| Adp of the SNF | Dec 14, 2020 | ||
| Michael D Ward | Corporate Officer | Nov 13, 2017 | 100% |
| Adp of the SNF | Nov 13, 2017 | ||
| Pines of Sarasota Holding Corp | 5% Or Greater Indirect Ownership Interest | Oct 6, 2015 | 5% |
| Indirect Ownership Interest | Oct 6, 2015 | 5% |
Practitioners & affiliated clinicians
Affiliated clinicians 3
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": "1444953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593993600000",
"number": "1164893194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 N ORANGE AVE",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342362631",
"telephone_number": "941-365-0250",
"fax_number": "941-365-4121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N ORANGE AVE",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342362631",
"telephone_number": "941-365-0250",
"fax_number": "941-365-4121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINES OF SARASOTA HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-16",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "941-365-0250"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "7450",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "FL",
"license": "SNF1443095",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015910900",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pines of Sarasota",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Sarasota, FL
- Sandy C Pilkington, DOM, AP
- Alison Michele Piller, LCSW
- Melanie Pimentel
- Cesar Pina, P.T.A ,LMT
- Pines Home Health Services Inc
- Pines of Sarasota Healthcare, LLC (Pines of Sarasota)
- Pines of Sarasota Inc
- Joseph Anthony Pingatore
- Pinnacle Health Facilities Xxiii LP (Tarpon Point Nursing and Rehabilitation Center)
- Pinski Dermatology and Cosmetic Surgery of Florida LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.