Active NPI
Southwest Florida Retirement Center
Doing business as Village On The Isle
- Skilled Nursing Facility
- Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- SNF1509096
- Legal business name
- SOUTHWEST FLORIDA RETIREMENT CENTER
- Doing business as
- Village On The Isle
- Practice address
- 910 Tamiami TRL S
Venice, FL 34285-3629 - Phone
- (941) 486-5420
- Fax
- (941) 486-5498
- NPI assigned
- Sep 30, 2005
- Last updated
- Nov 7, 2016
- 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
- Kathleen Wilson, CPA
- Title
- Cfo
- Phone
- (941) 486-5421
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | SNF1509096 | FL | Primary |
Addresses
Primary practice location
910 Tamiami TRL S
Venice, FL 34285-3629
Mailing address
920 Tamiami Trail South
Venice, FL 34285-3629
Phone (941) 486-5421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021046300 | Medicaid | FL |
Other names 1
- Village On The Isle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100111000420 | FL | Part A Provider - Skilled Nursing Facility | 6709927916 | Practice locations: Venice, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1881681328. Details of each certification follow.
Skilled nursing facility certification: CCN 105472
- Legal name
- SOUTHWEST FLORIDA RETIREMENT CENTER
- Doing business as
- VILLAGE ON THE ISLE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 24, 1984
- Last certification
- May 16, 2024
- Beds
- 64 (48 certified)
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- Jan 24, 1979 in FL
- Enrollment address
- 910 Tamiami TRL S
Village on the Isle
Venice, FL 34285-3629 - Nursing home name
- VILLAGE ON THE ISLE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Village on the Isle
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Sep 24, 1984
- Medicare certification status
- Active
- Certified beds
- 48
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 |
|---|---|---|---|
| 10D0976667 | Village on the Isle | Certificate of waiver | Aug 9, 2026 |
National Provider Directory
National Provider DirectoryNetworks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Ownership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Kathleen Rogers | Corporate Officer | May 14, 2012 | |
| Pamela Chapman | Adp of the SNF | Dec 15, 2025 | |
| Indirect Ownership Interest | Jan 1, 2024 | ||
| James Marshall | Operational/Managerial Control | Sep 30, 2020 | |
| Adp of the SNF | Dec 11, 2025 | ||
| Southwest Florida Retirement Center | 5% Or Greater Direct Ownership Interest | Jan 24, 1979 | 100% |
| Douglas P Feller | Corporate Officer | Jul 3, 2020 | 100% |
| Operational/Managerial Control | Jul 1, 2020 | ||
| Indirect Ownership Interest | Jul 1, 2020 |
Practitioners & affiliated clinicians
Affiliated clinicians 6
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": "1128038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1478476800000",
"number": "1881681328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 TAMIAMI TRAIL SOUTH",
"city": "VENICE",
"state": "FL",
"postal_code": "342853629",
"telephone_number": "941-486-5421",
"fax_number": "941-486-5498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 TAMIAMI TRL S",
"city": "VENICE",
"state": "FL",
"postal_code": "342853629",
"telephone_number": "941-486-5420",
"fax_number": "941-486-5498"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST FLORIDA RETIREMENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-30",
"last_updated": "2016-11-07",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "941-486-5421",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "FL",
"license": "SNF1509096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021046300",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Village On The Isle",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Venice, FL
- Jacquelyn Somach
- Sonriesza Enterprises LLC (Venice Village Dental)
- South County Heart Group Inc (South County Heart Center)
- South Florida Cardiology Associates LLC
- South Florida Cardiology Associates LLC
- Joseph William Sowka, O.D.
- Katie A Spada, APRN
- Sparko Group LLC (Everlume)
- Martha Gail Spiegelman, MSW
- Michael Spinelli, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.