NPIMap

Organization Active NPI

Adventhealth Port Charlotte Inc

Doing business as Adventhealth Port Charlotte

  • General Acute Care Hospital
  • Port Charlotte, FL
National Provider Identifier
1760299093
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
ADVENTHEALTH PORT CHARLOTTE INC
Doing business as
Adventhealth Port Charlotte
Practice address
2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone
(941) 766-4122
NPI assigned
Dec 11, 2024
Last updated
Jul 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Christopher Lawrence
Title
Cfo
Phone
(941) 766-4125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

2500 Harbor Blvd
Port Charlotte, FL 33952-5000

Mailing address

14055 Riveredge Dr Ste 250
Tampa, FL 33637-2141

Other names 1

  • ADVENTHEALTH PORT CHARLOTTE Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other CMS HIH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250319000350 FL Part A Provider - Hospital 8325560469 Practice locations: Cape Coral, FL; Port Charlotte, FL; Punta Gorda, FL; Venice, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760299093. Details of each certification follow.

Hospital certification: CCN 100077

Legal name
ADVENTHEALTH PORT CHARLOTTE INC
Doing business as
ADVENTHEALTH PORT CHARLOTTE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 25, 2023
Beds
254
Ownership / control type
Private (for profit)
Most recent change of ownership
Mar 1, 2025 (2 total)
Organization structure
CorporationNon-profit
Enrollment address
2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Main/Primary Hospital Location
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Adventhealth Port CharlotteCCN 100077 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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
10D0294715Adventhealth Port Charlotte Inc2500 Harbor Blvd, Port Charlotte, FL 33952AccreditationFeb 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Adventhealth Port Charlotte Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in 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 26

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

NameRoleSinceShare
David Ottati Individual Corporate OfficerChair Mar 1, 2025
Christopher G Constance Individual Corporate DirectorDirector Aug 21, 2025
Edward M Dancek Individual Corporate DirectorDirector Aug 21, 2025
Jeffrey Graff Individual Corporate OfficerAssistant Secretary Apr 3, 2025
Rosalie Oliver Individual Contracted Managing EmployeeCfo May 30, 2026
Corporate OfficerCfo May 30, 2026
Operational/Managerial ControlCfo May 30, 2026
Diane Godfrey Individual Corporate OfficerAssistant Secretary Apr 9, 2026
Daniel Vincent Oleary Individual Corporate DirectorDirector Aug 21, 2025
Marisa Farabaugh Individual Corporate OfficerAssistant Secretary Apr 9, 2026
Michael Saunders Individual Corporate OfficerAssistant Secretary Apr 3, 2025
Adventist Health System Sunbelt Healthcare Corporation Organization, Altamonte Springs, FL Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Mar 1, 2025 100%
Troy Kishbaugh Individual Corporate OfficerAssistant Secretary Nov 21, 2024
David Molina Rios Individual Corporate DirectorDirector Aug 21, 2025
Amanda Brady Individual Corporate OfficerAssistant Secretary Apr 3, 2025
Diane Sedgwick Individual Corporate DirectorDirector Apr 9, 2026
Toni Berrios Individual Corporate OfficerAssistant Secretary Apr 3, 2025
Jennifer J Wandersleben Individual Corporate OfficerVice President Nov 21, 2024
Corporate DirectorDirector Nov 21, 2024
Haney Vincent Individual Corporate OfficerAssistant Secretary Apr 3, 2025
Douglas Pytlinski Individual Corporate OfficerAssistant Secretary Apr 9, 2026
Adam Johnson Individual Contracted Managing EmployeeCeo Mar 1, 2025
Corporate OfficerCeo, President, Secretary Mar 1, 2025
Corporate DirectorDirector Mar 1, 2025
Operational/Managerial ControlCeo Mar 1, 2025
David L Huffman Individual Corporate OfficerAssistant Secretary Apr 3, 2025
Robert C Foltz Individual Corporate OfficerAssistant Secretary Apr 3, 2025
Lynn Addiscott Individual Corporate OfficerAssistant Secretary Apr 3, 2025
Timothy Cook Individual Corporate DirectorDirector Aug 21, 2025
Vadym Didenko Individual Corporate OfficerTreasurer Aug 21, 2025
Corporate DirectorDirector Nov 21, 2024
James Santana Individual Operational/Managerial ControlVP Divisional Revenue Cycle Officer Mar 1, 2025
Beverly Morgan Individual Corporate OfficerAssistant Secretary Aug 21, 2025

Owners & managing parties with NPI records 3

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

Facilities with the same owner 85

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

View all 85

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 395

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 395

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1760299093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14055 RIVEREDGE DR STE 250",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336372141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HARBOR BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525000",
            "telephone_number": "941-766-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTHEALTH PORT CHARLOTTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "941-766-4125"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "CMS HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDB",
            "address_1": "7500 Security Blvd",
            "city": "BALTIMORE",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ADVENTHEALTH PORT CHARLOTTE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ADVENTHEALTH PORT CHARLOTTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.