Plymouth Harbor, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1449096 Issued in FL

Legal business name

PLYMOUTH HARBOR, INC.

Practice address

700 John Ringling Blvd
Sarasota, FL 34236-1542

Phone

(941) 365-2600

Fax

(941) 361-7163

NPI assigned

Apr 7, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Natallia Dziatsel

Title

VP/Cfo

Phone

(941) 365-2600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Skilled nursing facility certification: CCN 105817

Legal name

PLYMOUTH HARBOR, INC.

Certification status

Active

Provider type (POS)

Nursing home – SNF (Medicare) only

Participating since

Jun 22, 1993

Last certification

Mar 27, 2025

Beds

60 (56 certified)

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Enrollment address

700 John Ringling Blvd
Sarasota, FL 34236-1542

Nursing home name

PLYMOUTH HARBOR INCORPORATED

Listed as

Plymouth Harbor IncorporatedCCN 105817

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare

Ownership

Non profit - Corporation

Certified

Jun 22, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5639.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 20

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

Owners & managing parties with NPI records 2

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

• Shadrick Kralik, MD

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1588181358

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Petra Travnicek, M.D.

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1114919149

  Corporate Director

  CMS ownership

Affiliated clinicians 7

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

• Steven Wayne Fineman, M.D.

  • Nephrology Physician
  • Sarasota, FL
  • NPI 1477579373

  Nursing home

  Care Compare affiliation
• Renee Hope Fletcher, ARNP

  • Gerontology Nurse Practitioner
  • Sarasota, FL
  • NPI 1477562601

  Nursing home

  Care Compare affiliation
• Darren S Hoffberger, D.O.

  • Pulmonary Disease Physician
  • Sarasota, FL
  • NPI 1598774390

  Nursing home

  Care Compare affiliation
• Brad S Lerner, MD

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1235288184

  Nursing home

  Care Compare affiliation
• Bart E Price, M.D.

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1427040591

  Nursing home

  Care Compare affiliation
• Charles David Talakkottur, M.D.

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1598949034

  Nursing home

  Care Compare affiliation
• Petra Travnicek, M.D.

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1114919149

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1952364572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 JOHN RINGLING BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342361542",
            "telephone_number": "941-365-2600",
            "fax_number": "941-361-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 JOHN RINGLING BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342361542",
            "telephone_number": "941-365-2600",
            "fax_number": "941-361-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH HARBOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "DZIATSEL",
        "authorized_official_first_name": "NATALLIA",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "941-365-2600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1449096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Louise Platt
• Hannah Pleasant, FNP
• Evan Douglas Plish
• Oren Plous, M.D.
• Jennifer T Plush, MD
• Kathy PO, MD
• Iren J Pober, MD
• Robert J. Pohl, PA-C
• Points for Health Inc
• Jakub Piotr Polakowski, PHARMD

• Skilled Nursing Facility in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.

Verify at the official NPI Registry.