Active NPI
Bay Village of Sarasota Inc.
- Skilled Nursing Facility
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- SNF10400961
- Legal business name
- BAY VILLAGE OF SARASOTA INC.
- Practice address
- 8400 Vamo Rd
Sarasota, FL 34231 - Phone
- (941) 966-5611
- Fax
- (941) 966-4040
- NPI assigned
- May 10, 2007
- Last updated
- Jun 8, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Alec Weitzel
- Title
- Chief Operating Officer
- Phone
- (941) 966-5611
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 20170096 | FL | |
| Assisted Living Facility | 310400000X | AL9166 | FL | |
| Skilled Nursing Facility | 314000000X | SNF10400961 | FL | Primary |
Addresses
Primary practice location
8400 Vamo Rd
Sarasota, FL 34231
Mailing address
8400 Vamo Rd
Sarasota, FL 34231-7807
Phone (941) 966-5611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002877700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100325000734 | FL | Part A Provider - Skilled Nursing Facility | 5496881799 | Practice locations: Sarasota, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1811101363. Details of each certification follow.
Skilled nursing facility certification: CCN 106085
- Legal name
- BAY VILLAGE OF SARASOTA INC.
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Aug 24, 2010
- Last certification
- Apr 18, 2024
- Beds
- 95
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Jan 12, 1972 in FL
- Enrollment address
- 8400 Vamo Rd
Sarasota, FL 34231-7807 - Nursing home name
- BAY VILLAGE OF SARASOTA
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Bay Village of Sarasota
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Aug 24, 2010
- Medicare certification status
- Active
- Certified beds
- 95
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0911951 | Bay Village of Sarasota Inc | Certificate of waiver | Feb 19, 2028 |
National Provider Directory
National Provider DirectoryNetworks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Ownership & related parties
All disclosed owners & managing parties 30
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Diana Caughron | Operational/Managerial Control | May 7, 2013 | |
| Adp of the SNF | Jan 17, 2025 | ||
| Timothy Jones | Operational/Managerial Control | Jul 18, 2023 | |
| Donald Snyder | Corporate Officer | Jan 1, 2023 | |
| Managing Control - Governing Body | Jan 1, 2023 | ||
| Robert Sherwood | Corporate Officer | Jan 1, 2025 | |
| Managing Control - Governing Body | Jan 1, 2023 | ||
| Adp of the SNF | Jan 10, 2025 | ||
| Eric Nichols | Corporate Director | May 1, 2017 | |
| Marvin Lunsford | Operational/Managerial Control | Sep 10, 2018 | |
| Christina Wizba | Corporate Director | Nov 18, 1996 | |
| Operational/Managerial Control | Jan 22, 2025 | ||
| Laura Pitcher | Operational/Managerial Control | Jan 3, 2000 | |
| Donald Goodrich | Corporate Officer | Jan 1, 2023 | |
| Managing Control - Governing Body | Jan 1, 2023 | ||
| Ashley Williams | Operational/Managerial Control | Aug 12, 2024 | |
| Sally Seeger | Corporate Officer | Jan 1, 2023 | |
| Managing Control - Governing Body | Jan 1, 2023 | ||
| Adp of the SNF | Jan 10, 2025 | ||
| Bay Village of Sarasota Inc. | Adp of the SNF | Jan 22, 2025 | |
| Kimberly Roth | Operational/Managerial Control | Dec 1, 2021 | |
| Thomas Taylor | Corporate Officer | Jan 1, 2023 | |
| Managing Control - Governing Body | Jan 1, 2023 | ||
| Adp of the SNF | Jan 17, 2025 | ||
| Barry I Stein | Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Thomas Howe | Corporate Officer | Jan 1, 2023 | |
| Managing Control - Governing Body | Jan 1, 2023 | ||
| Adp of the SNF | Jan 17, 2025 | ||
| Jennifer Grimes | Corporate Director | Jul 15, 2019 | |
| Operational/Managerial Control | Jul 15, 2019 | ||
| Adp of the SNF | Feb 28, 2025 | ||
| Kathleen Junkins | Corporate Officer | Jan 1, 2023 | |
| Managing Control - Governing Body | Jan 1, 2023 | ||
| Adp of the SNF | Jan 17, 2025 | ||
| Andrew Olwert | Corporate Officer | Jan 1, 2023 | |
| Managing Control - Governing Body | Jan 1, 2023 | ||
| Adp of the SNF | Jan 17, 2025 | ||
| Abigail Robinson | Corporate Officer | Jan 1, 2023 | |
| Managing Control - Governing Body | Jan 1, 2023 | ||
| John Penn | Corporate Officer | Jan 1, 2023 | |
| Managing Control - Governing Body | Jan 1, 2023 | ||
| Adp of the SNF | Jan 17, 2025 | ||
| Thomas E. Combs | Corporate Officer | Jan 1, 2023 | |
| Managing Control - Governing Body | Jan 1, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Sarasota, FL
- NPI 1609865609
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 3
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": "1178755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528416000000",
"number": "1811101363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8400 VAMO RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342317807",
"telephone_number": "941-966-5611",
"fax_number": "941-966-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8400 VAMO RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "34231",
"telephone_number": "941-966-5611",
"fax_number": "941-966-4040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAY VILLAGE OF SARASOTA INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-10",
"last_updated": "2018-06-08",
"status": "A",
"authorized_official_last_name": "WEITZEL",
"authorized_official_first_name": "ALEC",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "941-966-5611",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "20170096",
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "AL9166",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "FL",
"license": "SNF10400961",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0002877700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
- Bay Area Allergy & Asthma Consultants, P.a.
- Bay Area Allergy and Asthma Consultants, P.a. (Hawthorne Allergy and Asthma Specialists)
- Bay Area Behavioral Services
- Bay Area Neurotech Services Inc
- Bay Pines Vamc
- Bayada Home Health Care, Inc.
- Bayada Nurses
- Baycare Home Care, Inc. (dba Sarasota Memorial Home Care)
- Baycare Home Care, Inc. (A Place For Her)
- Baycare Medical Group Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.