| Entity Name: | BAY VILLAGE OF SARASOTA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 12 Jan 1972 (53 years ago) |
| Document Number: | 722428 |
| FEI/EIN Number | 591453706 |
| Address: | 8400 VAMO ROAD, SARASOTA, FL, 34231, US |
| Mail Address: | 8400 VAMO ROAD, SARASOTA, FL, 34231, US |
| ZIP code: | 34231 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811101363 | 2007-05-10 | 2018-06-08 | 8400 VAMO RD, SARASOTA, FL, 342317807, US | 8400 VAMO RD, SARASOTA, FL, 34231, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 941-966-5611 |
| Fax | 9419664040 |
Authorized person
| Name | MR. ALEC WEITZEL |
| Role | CHIEF OPERATING OFFICER |
| Phone | 9419665611 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 20170096 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL9166 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF10400961 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 0002877700 |
| State | FL |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 549300G03IN2ON2FXK82 | 722428 | US-FL | GENERAL | ACTIVE | No data | |||||||||||||||||||
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| Legal | C/O Mcclellan, John F, 8400 Vamo Road, Sarasota, US-FL, US, 34231 |
| Headquarters | 8400 Vamo Road, Sarasota, US-FL, US, 34231 |
Registration details
| Registration Date | 2015-01-14 |
| Last Update | 2023-08-04 |
| Status | LAPSED |
| Next Renewal | 2016-01-12 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | 722428 |
| Name | Role | Address |
|---|---|---|
| NICHOLS ERIC T | Agent | 8400 VAMO ROAD, SARASOTA, FL, 34231 |
| Name | Role | Address |
|---|---|---|
| GOODRICH DONALD | Director | 3891 SPYGLASS HILL RD, SARASOTA, FL, 34238 |
| SEEGER SALLY | Director | 5974 BENEVENTO DR., SARASOTA, FL, 34238 |
| TAYLOR THOMAS R | Director | 4103 BOCA POINTE DR., SARASOTA, FL, 34238 |
| Olwert Andrew W | Director | 5127 Ocean Blvd., Sarasota, FL, 34242 |
| Combs Thomas | Director | 7336 Weeping Willow Dr, Sarasota,, FL, 34231 |
| HOWE TOM | Director | 4842 SWEETMEADOW CIRCLE, SARASOTA, FL, 34248 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G05308700013 | THE GOOD NEIGHBOR FOUNDATION OF BAY VILLAGE | ACTIVE | 2005-11-04 | 2025-12-31 | No data | 8400 VAMO ROAD, SARASOTA, FL, 34231 |
| G05080900416 | BAY VILLAGE OF SARASOTA | ACTIVE | 2005-03-21 | 2025-12-31 | No data | 8400 VAMO ROAD, SARASOTA, FL, 34231--789 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDED AND RESTATEDARTICLES | 2009-06-05 | No data | No data |
| AMENDMENT | 1990-06-06 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
