Organization Active NPI

Boca Ciega Investors LLC

Doing business as The Springs at Boca Ciega Bay

  • Skilled Nursing Facility
  • South Pasadena, FL
National Provider Identifier
1194726638
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BOCA CIEGA INVESTORS LLC
Doing business as
The Springs at Boca Ciega Bay
Practice address
1255 Pasadena Ave S
Suite C
South Pasadena, FL 33707-6200
Phone
(727) 828-3500
Fax
(727) 343-9221
NPI assigned
Aug 9, 2005
Last updated
Jan 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Authorized official

Name
Mr. Joseph D. Mitchell
Title
President
Phone
(850) 386-2522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X FL Primary

Addresses

Primary practice location

1255 Pasadena Ave S
Suite C
South Pasadena, FL 33707-6200

Mailing address

2123 Centre Pointe Blvd
Tallahassee, FL 32308-4930
Phone (850) 386-2831

Other identifiers 1

IdentifierTypeStateIssuer
026772400MedicaidFL

Other names 1

  • The Springs at Boca Ciega Bay Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070628000343 FL Part A Provider - Skilled Nursing Facility 6608975842 Practice locations: South Pasadena, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194726638. Details of each certification follow.

Skilled nursing facility certification: CCN 105537

Legal name
BOCA CIEGA INVESTORS LLC
Doing business as
THE SPRINGS AT BOCA CIEGA BAY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 4, 1986
Last certification
Feb 22, 2024
Beds
109
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Summitt Care II, Inc.
Most recent change of ownership
Jan 1, 2004
Organization structure
LLCProprietary
Enrollment address
1255 Pasadena Ave S
Ste C
South Pasadena, FL 33707-6200
Nursing home name
SPRINGS AT BOCA CIEGA BAY
Affiliated entity
SUMMIT CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Springs at Boca Ciega BayCCN 105537 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 4, 1986
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10973.8 residents per day on average
Chain
Summit Care22 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)

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
10D0715826Springs at Boca Ciega Bay,the1255 Pasadena Ave S Suite C, Saint Petersburg, FL 33707Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

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 Máximo (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)

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Individual Indirect Ownership Interest Aug 2, 2023 2.5%
Organization, Tallahassee, FL Adp of the SNF Dec 22, 2025
Dawn M McCall Individual Operational/Managerial Control Feb 19, 2024
Adp of the SNF Feb 19, 2024
John McManus Individual Corporate DirectorVP of Finance Aug 4, 2023
Adp of the SNF Aug 3, 2023
Organization, Baltimore, MD Financial institution Adp of the SNF Dec 22, 2025
Organization, Lakewood, NJ LLC, Owned by another organization or individual Indirect Ownership Interest Aug 2, 2023 2.5%
Individual Adp of the SNF Aug 4, 2023
Madison SNF Operations LLC Organization, Lakewood, NJ LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 2, 2023 100%
Individual Indirect Ownership Interest Aug 2, 2023 4.95%
Individual Indirect Ownership Interest Aug 2, 2023 2.5%
CH Summit Care Holdings LLC Organization, Lakewood, NJ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 2, 2023 45%
Organization, Toledo, OH Corporation Adp of the SNF Dec 1, 2021
Organization, Lakewood, NJ LLC, Owned by another organization or individual Indirect Ownership Interest Aug 2, 2023 2.5%
Individual Adp of the SNF Aug 4, 2023
David M. Swenson Individual Adp of the SNF Feb 16, 2026
Individual Adp of the SNF Aug 4, 2023
SK Summit Care II Holdings LLC Organization, Lakewood, NJ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 2, 2023 50%
Yisroel E Herzka Individual 5% Or Greater Indirect Ownership Interest Aug 2, 2023 45%
Summit Care Management LLC Organization, Tallahassee, FL Management services company Operational/Managerial Control Aug 4, 2023
Adp of the SNF Dec 22, 2025
Seam Ny 2020 Trust Organization, Brooklyn, NY 5% Or Greater Indirect Ownership Interest Aug 2, 2023 47.53%
Individual Adp of the SNF Aug 4, 2023
Individual Adp of the SNF Aug 3, 2023
Summit Care Group II Operations Holdings LLC Organization, Lakewood, NJ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 2, 2023 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 10

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

Practitioners & affiliated clinicians

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": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1194726638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 CENTRE POINTE BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084930",
            "telephone_number": "850-386-2831",
            "fax_number": "850-386-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 PASADENA AVE S",
            "address_2": "SUITE C",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337076200",
            "telephone_number": "727-828-3500",
            "fax_number": "727-343-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA CIEGA INVESTORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-386-2522",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026772400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Springs at Boca Ciega Bay",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Springs at Boca Ciega Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Pasadena, FL

Sources for this page

Verify at the official NPI Registry.