NPIMap

Organization Active NPI

Suncoast Manor Retirement Community, Inc.

Doing business as Westminster Suncoast

  • Skilled Nursing Facility
  • St Petersburg, FL
National Provider Identifier
1467488981
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF130470995 Issued in FL
Legal business name
SUNCOAST MANOR RETIREMENT COMMUNITY, INC.
Doing business as
Westminster Suncoast
Practice address
1095 Pinellas Point Dr S
St Petersburg, FL 33705-6154
Phone
(727) 867-1131
Fax
(727) 866-8742
NPI assigned
Jun 25, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Henry T Keith
Title
Chief Financial Officer
Phone
(407) 839-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF130470995 FL Primary

Addresses

Primary practice location

1095 Pinellas Point Dr S
St Petersburg, FL 33705-6154

Mailing address

80 W Lucerne Cir
Orlando, FL 32801-3779
Phone (407) 839-5050

Other identifiers 2

IdentifierTypeStateIssuer
4491160001OtherFLDMERC SUPPLIER NUMBER
021270900MedicaidFL

Other names 1

  • Westminster Suncoast Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050423000030 FL Part A Provider - Skilled Nursing Facility 8426096017 Practice locations: St Petersburg, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467488981. Details of each certification follow.

Skilled nursing facility certification: CCN 105926

Legal name
SUNCOAST MANOR RETIREMENT COMMUNITY, INC.
Doing business as
WESTMINSTER SUNCOAST
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Aug 23, 1996
Last certification
Apr 25, 2024
Beds
120
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Westminster Communities of Florida
Organization structure
CorporationNon-profit
Enrollment address
1095 Pinellas Point Dr S
St Petersburg, FL 33705-6154
Nursing home name
WESTMINSTER SUNCOAST
Affiliated entity
WESTMINSTER COMMUNITIES OF FLORIDA

Care Compare: Nursing home

Medicare Care Compare
Listed as
Westminster SuncoastCCN 105926 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Aug 23, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12088.8 residents per day on average
Chain
Westminster Communities of Florida9 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Suncoast Manor Retirement Community Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

80 W Lucerne Cir
Orlando, FL 32801
Phone (407) 839-5050

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 7

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

NameRoleSinceShare
Henry Keith Individual Corporate OfficerCfo Jan 1, 2024
Corporate Director Apr 23, 2005
Adam J Prawer Individual Operational/Managerial Control Jan 1, 2014
Adp of the SNF Apr 17, 2025
Garry Hennis Individual Corporate OfficerCoo & Evp Jan 1, 2024
Donald D Doddridge Individual Corporate DirectorDirector Jan 1, 2025
Megan Faubel Individual Corporate OfficerSecretary Jan 1, 2024
Jason Brunner Individual Operational/Managerial Control Sep 8, 2015
Adp of the SNF Apr 16, 2025
Westminster Services Inc Organization, Orlando, FL Chain home office Operational/Managerial Control Apr 1, 2001

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 6

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

Practitioners & affiliated clinicians

Affiliated clinicians 8

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": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467488981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 W LUCERNE CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013779",
            "telephone_number": "407-839-5050",
            "fax_number": "407-849-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 PINELLAS POINT DR S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337056154",
            "telephone_number": "727-867-1131",
            "fax_number": "727-866-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST MANOR RETIREMENT COMMUNITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "407-839-5050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF130470995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC SUPPLIER NUMBER",
            "identifier": "4491160001",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021270900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westminster Suncoast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.