Organization Active NPI

Southwest Florida Retirement Center

Doing business as Village On The Isle

  • Skilled Nursing Facility
  • Venice, FL
National Provider Identifier
1881681328
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1509096 Issued in FL
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
021046300MedicaidFL

Other names 1

  • Village On The Isle Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 IsleCCN 105472 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 24, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4850.3 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
10D0976667Village on the Isle910 Tamiami Trail S, Venice, FL 34285Certificate of waiverAug 9, 2026

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 5

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

NameRoleSinceShare
Kathleen Rogers Individual Corporate OfficerCfo May 14, 2012
Pamela Chapman Individual Adp of the SNF Dec 15, 2025
Indirect Ownership Interest Jan 1, 2024
James Marshall Individual Operational/Managerial Control Sep 30, 2020
Adp of the SNF Dec 11, 2025
Southwest Florida Retirement Center Organization, Venice, FL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 24, 1979 100%
Douglas P Feller Individual Corporate OfficerCeo 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

Sources for this page

Verify at the official NPI Registry.