NPIMap

Organization Active NPI

Lee Health System Inc

Doing business as Gulf Coast Skilled Nursing Unit

  • Skilled Nursing Facility
  • Fort Myers, FL
National Provider Identifier
1700625183
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LEE HEALTH SYSTEM INC
Doing business as
Gulf Coast Skilled Nursing Unit
Practice address
13960 Plantation Rd
Fort Myers, FL 33912-4303
Phone
(239) 343-1503
NPI assigned
May 23, 2024
Last updated
May 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Benjamin Spence
Title
Chief Financial Officer
Phone
(239) 343-6014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

13960 Plantation Rd
Fort Myers, FL 33912-4303

Mailing address

16131 Roserush CT
Fort Myers, FL 33908-3634
Phone (239) 343-7344

Other names 1

  • Gulf Coast Skilled Nursing Unit Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241108000318 FL Part A Provider - Skilled Nursing Facility 9335672146 Practice locations: Fort Myers, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700625183. Details of each certification follow.

Skilled nursing facility certification: CCN 106122

Legal name
LEE HEALTH SYSTEM INC
Doing business as
GCMC SKILLED NURSING UNIT
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Feb 7, 2019
Last certification
Aug 24, 2023
Beds
75
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
13960 Plantation Rd
Fort Myers, FL 33912-4303
Nursing home name
GULF COAST MEDICAL CENTER SKILLED NURSING UNIT

Other NPIs with the same Medicare PAC ID 10

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Gulf Coast Medical Center Skilled Nursing UnitCCN 106122 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare
Ownership
Government - Hospital district
Certified
Feb 7, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7572.2 residents per day on average
Penalties (3 years)
1Fines totaling $14,521

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Lee Health System Inc86 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Member of 1

Organizations this organization is a member of, according to the 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 22

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

NameRoleSinceShare
Eric W Reyes-Grajales Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
David Collins Individual Corporate DirectorDirector Nov 1, 2024
Lawrence R Antonucci Individual Corporate OfficerPresident and Ceo Nov 1, 2024
Corporate DirectorPresident and Ceo Nov 1, 2024
Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Laura Noble Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Nancy McGovern Individual Corporate DirectorSecretary Nov 1, 2024
Peter Andruszkiewicz Individual Corporate DirectorDirector Jan 16, 2025
Diane Champion Individual Corporate DirectorDirector Nov 1, 2024
Therese Everly Individual Corporate DirectorDirector Nov 1, 2024
Samira Beckwith Individual Corporate DirectorDirector Aug 14, 2025
David Pryor Individual Corporate DirectorDirector Aug 14, 2025
Joeseph Catti Individual Corporate DirectorDirector Jan 16, 2025
Kathy Bridge-Liles Individual Corporate DirectorDirector Nov 1, 2024
David H Klein Individual Corporate DirectorDirector Nov 1, 2024
Dane Allen Individual Corporate DirectorTreasurer Nov 1, 2024
Kristin L Hansen Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Diana Katich Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
William Gruver Individual Corporate DirectorDirector Jan 16, 2025
Benjamin Spence Individual Corporate OfficerChief Financial Officer Nov 1, 2024
Operational/Managerial Control Jun 1, 2017
Adp of the SNF Jun 1, 2017
Stephen Brown Individual Corporate DirectorDirector Nov 1, 2024
Pamela Wronski Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Donna Clarke Individual Corporate DirectorDirector Nov 1, 2024
Lee Health System Inc Organization, Fort Myers, FL Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Nov 1, 2024 100%

Owners & managing parties with NPI records 11

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

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rehabilitation Hospital of Cape CoralCape Coral, FL, CCN 103053 Hospital 5% Or Greater Indirect Ownership Interest (49%) Nov 1, 2024
Gulf Coast Medical CenterFort Myers, FL, CCN 100220 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2024
Cape Coral HospitalCape Coral, FL, CCN 100244 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2024
Healthpark Care Center, Inc.Fort Myers, FL, CCN 105779 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2024
LMH Skilled Nursing UnitFort Myers, FL, CCN 106113 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 1, 2024
Nov 1, 2024
Lee Memorial Home Health ,Inc.Fort Myers, FL, CCN 107191 Home health agency 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2024

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 1

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": "1716422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1700625183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16131 ROSERUSH CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083634",
            "telephone_number": "239-343-7344",
            "fax_number": "239-343-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13960 PLANTATION RD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124303",
            "telephone_number": "239-343-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE HEALTH SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "239-343-6014"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Skilled Nursing Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.