HCA Health Services of Florida, Inc.
Organization Active NPI Rehabilitation Hospital Unit · Bradenton, FL
NPI 1629023015 · NPPES record last updated Nov 10, 2025
Key facts
- NPI
- 1629023015
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Hospital Unit 273Y00000X
- 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 23, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- HCA HEALTH SERVICES OF FLORIDA, INC.
Authorized official
- Name
- Thomas A. Smith
- Title
- Cfo
- Phone
- (941) 798-6114
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 14
Member organizations 4
Related certifications (CCN) 1
Facilities with the same owner 200
Affiliated clinicians 6
-
Natacha Falcon, DO
-
Rigoberto Nicholas Nunez, M.D.
-
Michael Martin Vanvliet, M.D.
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- Blake Medical Center
- Ownership
- For profit
- Certified
- May 1, 2021
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Hospital certification: CCN 10T213
- Legal name
- HCA HEALTH SERVICES OF FLORIDA INC
- Doing business as
- HCA FLORIDA BLAKE HOSPITAL
- Organization structure
- Corporation · Proprietary
- Incorporated
- Mar 1, 1993 in FL
- Enrollment address
- 2020 59TH St W
Bradenton, FL 34209-4604 - Hospital subgroups
- Rehabilitation unit
All disclosed owners & managing parties 47
| Name | Role | Since | Share |
|---|---|---|---|
| Michael McAlevey |
Corporate Officer |
Feb 1, 2022 | |
| HCA Squared LLC |
5% Or Greater Indirect Ownership Interest | Oct 24, 2011 | 100% |
| Jaime L Derensis |
Corporate Officer |
Nov 4, 2020 | |
| Richard Read |
Corporate Officer |
Jan 1, 2023 | |
| HCA Inc |
5% Or Greater Indirect Ownership Interest | Aug 24, 2011 | 100% |
| John M Franck |
Corporate Officer | Aug 24, 2011 | |
| Corporate Director | Aug 24, 2011 | ||
| Kenneth Wicker |
Corporate Officer |
Apr 25, 2022 | |
| Jyric E Sims |
Corporate Officer |
Jun 12, 2023 | |
| Douglas L Downey |
Corporate Officer | Apr 7, 2014 | |
| Eric D Smith |
W-2 Managing Employee |
Mar 6, 2021 | |
| HCA Healthcare Inc |
5% Or Greater Indirect Ownership Interest | Aug 24, 2011 | 100% |
| Henry Todd Maxwell |
Corporate Officer |
Jan 1, 2024 | |
| Frisco Holding II |
5% Or Greater Indirect Ownership Interest | Feb 6, 2026 | 16.3% |
| Christopher F Wyatt |
Corporate Officer | Apr 18, 2016 | |
| Corporate Director | Apr 18, 2016 | ||
| John I Starling |
Corporate Officer |
Oct 7, 2019 | |
| Shirley E Scharf-Cheatham |
Corporate Officer | Aug 24, 2011 | |
| Richard Hammett |
Corporate Officer |
Jan 1, 2023 | |
| John M Hackett |
Corporate Officer | Apr 18, 2016 | |
| Thomas Smith |
Corporate Officer |
Aug 13, 2012 | |
| Operational/Managerial Control |
Aug 13, 2012 | ||
| Hercules Holding II |
5% Or Greater Indirect Ownership Interest | Feb 6, 2026 | 14.4% |
| Samuel N Hazen |
Corporate Officer | Aug 24, 2011 | |
| Corporate Director | Aug 24, 2011 | ||
| Corey Lovelace |
Corporate Officer |
May 22, 2023 | |
| Phillip M Baker |
Corporate Officer |
Apr 29, 2019 | |
| Sarah Seymour |
Corporate Officer |
Jan 1, 2024 | |
| Stephen Young |
Corporate Officer |
Sep 25, 2023 | |
| Operational/Managerial Control |
Sep 25, 2023 | ||
| Ronald Lee Grubbs |
Corporate Officer | Aug 24, 2011 | |
| Monica Cintado |
Corporate Officer |
Oct 7, 2019 | |
| Jon Foster |
Corporate Officer |
Jan 1, 2023 | |
| Healthtrust Inc - the Hospital Company |
5% Or Greater Indirect Ownership Interest | Aug 24, 2011 | 100% |
| Galen Holdco LLC |
5% Or Greater Indirect Ownership Interest | Aug 24, 2011 | 23.93% |
| Hospital Corp LLC |
5% Or Greater Indirect Ownership Interest | Aug 24, 2011 | 26.22% |
| Seth a Killingbeck |
Corporate Officer | Aug 29, 2012 | |
| Ricardo Pavon |
Corporate Officer |
Nov 4, 2020 | |
| Timothy Scott Noonan |
Corporate Officer | Apr 5, 2013 | |
| Natalie H Cline |
Corporate Officer | Apr 5, 2013 | |
| Michael T Bray |
Corporate Officer | Aug 24, 2011 | |
| Matthew R Favicchio |
Corporate Officer |
Sep 5, 2025 | |
| Peter J Rossell |
Corporate Officer |
Jan 1, 2023 | |
| Charles E Gressle |
Corporate Officer |
Dec 1, 2019 | |
| Michael a Marks |
Corporate Officer |
Sep 5, 2025 | |
| Edwin W Robinson |
Corporate Officer |
Sep 5, 2025 | |
| Brad Ej Spicer |
Corporate Officer |
Jan 1, 2023 | |
| Kevin a Ball |
Corporate Officer | Apr 7, 2014 | |
| Jeffery McInturff |
Corporate Officer |
Nov 29, 2021 | |
| Healthserv Acquisition LLC |
5% Or Greater Indirect Ownership Interest | Aug 24, 2011 | 36.28% |
| Deborah H Mullin |
Corporate Officer | Aug 24, 2011 | |
| Tampa Bay Health System Inc |
5% Or Greater Direct Ownership Interest | Aug 24, 2011 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110913000041 | FL | Part a Provider - Hospital | 5890773824 | Practice locations: Bradenton, FL |
National Provider Directory
- Tax ID family
- Copenhaver Bell
- Part of
- Copenhaver Bell
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | Yes |
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 names
- BLAKE MEDICAL CENTER
- HCA Florida Blake Hospital
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in Bradenton, FL
- William Emory Haynes
- Evan C Hays
- Madeline Skye Hazuda
- HCA Health Services of Florida, Inc.
- HCA Health Services of Florida, Inc.
- Jeremy Head
- Maurice Irvin Healey I
- Health Applications, PLLC
- Health Care Corporation
- Health Choice Me PLLC
All providers in Bradenton, FL · Rehabilitation Hospital Unit in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.