Organization Active NPI

Bay Village of Sarasota Inc.

  • Skilled Nursing Facility
  • Sarasota, FL
National Provider Identifier
1811101363
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF10400961 Issued in FL
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0002877700MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 SarasotaCCN 106085 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Aug 24, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9558.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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
10D0911951Bay Village of Sarasota Inc8400 Vamo Road, Sarasota, FL 34231Certificate of waiverFeb 19, 2028

National Provider Directory

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 30

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

NameRoleSinceShare
Diana Caughron Individual Operational/Managerial Control May 7, 2013
Organization, Charlotte, NC Corporation, Financial institution, For-profit Adp of the SNF Jan 17, 2025
Timothy Jones Individual Operational/Managerial Control Jul 18, 2023
Donald Snyder Individual Corporate OfficerImmediate Past Board Chair Jan 1, 2023
Managing Control - Governing BodyImmediate Pastboard Chair Jan 1, 2023
Robert Sherwood Individual Corporate OfficerBoard Chair Jan 1, 2025
Managing Control - Governing BodyBoard Chair Jan 1, 2023
Organization, Fort Mill, SC Consulting firm Adp of the SNF Jan 10, 2025
Eric Nichols Individual Corporate DirectorChief Executive Officer May 1, 2017
Marvin Lunsford Individual Operational/Managerial Control Sep 10, 2018
Christina Wizba Individual Corporate DirectorChief Financial Officer Nov 18, 1996
Operational/Managerial Control Jan 22, 2025
Laura Pitcher Individual Operational/Managerial Control Jan 3, 2000
Donald Goodrich Individual Corporate OfficerBoard Vice Chair Jan 1, 2023
Managing Control - Governing BodyBoard Vice Chair Jan 1, 2023
Ashley Williams Individual Operational/Managerial Control Aug 12, 2024
Sally Seeger Individual Corporate OfficerBoard Secretary Jan 1, 2023
Managing Control - Governing BodyBoard Secretary Jan 1, 2023
Organization, Land O Lakes, FL For-profit Adp of the SNF Jan 10, 2025
Bay Village of Sarasota Inc. Organization, Sarasota, FL Adp of the SNF Jan 22, 2025
Kimberly Roth Individual Operational/Managerial Control Dec 1, 2021
Thomas Taylor Individual Corporate OfficerBoard Treasurer Jan 1, 2023
Managing Control - Governing BodyBoard Treasurer Jan 1, 2023
Organization, Boston, MA LLC, Investment firm, For-profit Adp of the SNF Jan 17, 2025
Barry I Stein Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Thomas Howe Individual Corporate OfficerBoard Member Jan 1, 2023
Managing Control - Governing BodyBoard Member Jan 1, 2023
Organization, North Canton, OH Adp of the SNF Jan 17, 2025
Jennifer Grimes Individual Corporate DirectorChief Operating Officer Jul 15, 2019
Operational/Managerial Control Jul 15, 2019
Adp of the SNF Feb 28, 2025
Kathleen Junkins Individual Corporate OfficerBoard Member Jan 1, 2023
Managing Control - Governing BodyBoard Member Jan 1, 2023
Organization, Knoxville, TN LLC, For-profit Adp of the SNF Jan 17, 2025
Andrew Olwert Individual Corporate OfficerBoard Member Jan 1, 2023
Managing Control - Governing BodyBoard Member Jan 1, 2023
Organization, Sarasota, FL Corporation Adp of the SNF Jan 17, 2025
Abigail Robinson Individual Corporate OfficerBoard Member Jan 1, 2023
Managing Control - Governing BodyBoard Member Jan 1, 2023
John Penn Individual Corporate OfficerBoard Member Jan 1, 2023
Managing Control - Governing BodyBoard Member Jan 1, 2023
Organization, Nokomis, FL LLC, Medical staffing company, For-profit Adp of the SNF Jan 17, 2025
Thomas E. Combs Individual Corporate OfficerBoard Member Jan 1, 2023
Managing Control - Governing BodyBoard Member 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.

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

Sources for this page

Verify at the official NPI Registry.