MAGNOLIA HEALTH AND REHABILITATION CENTER
NPI 1023387776
Skilled Nursing Facility in Sarasota, FL

NPI Status: Active since December 27, 2011

Contact Information

1507 S TUTTLE AVE
SARASOTA, FL
ZIP 34239
Phone: (941) 366-0336
Fax: (941) 366-0440

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  • Organization
  • Skilled Nursing Facility
  • Accepts Insurance
  • CLIA Number: 10D0895354
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 12-06-2026

About MAGNOLIA HEALTH AND REHABILITATION CENTER

This page provides the complete NPI Profile along with additional information for Magnolia Health And Rehabilitation Center, a provider established in Sarasota, Florida operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1023387776 assigned on December 2011. The practitioner's primary taxonomy code is 314000000X with license number SNF11420962 (FL). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Magnolia Health And Rehabilitation Center. The authorized official of this NPI record is Kenneth Ussery (Vp)

NPI
1023387776
Provider Legal Name
1507 SOUTH TUTTLE AVENUE OPERATIONS LLC
Other Organization Name
MAGNOLIA HEALTH AND REHABILITATION CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1507 S TUTTLE AVE SARASOTA, FL 34239
Location Phone
(941) 366-0336
Location Fax
(941) 366-0440
Mailing Address
1507 S TUTTLE AVE SARASOTA, FL 34239
Mailing Phone
(941) 366-0336
Mailing Fax
(941) 366-0440
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-27-2011
Last Update Date
11-27-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
SNF11420962
License State
FL
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
  • BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
  • Bronze 4 - HMO
  • Bronze 8 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Silver 9 - HMO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic Standard - EPO
  • Gold Elite - EPO
  • Gold Elite Saver Plus - EPO
  • Secure - EPO
  • Silver Classic Standard - EPO
  • Silver Elite - EPO
  • Silver Simple Chronic Care CKM - EPO
  • Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
  • Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
  • Wellpoint Essential Catastrophic 9200 (+ Incentives) - HMO
  • Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
  • Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KENNETH USSERY

Authorized Official Title
VP
Authorized Official Phone
(407) 571-1550

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
004387700MEDICAID (05)FL 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D0895354
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
December 07, 2024
Certificate Expiration Date
December 06, 2026
Laboratory Director
EDIER A. LEON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Magnolia Health And Rehabilitation Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MAGNOLIA HEALTH AND REHABILITATION CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023387776
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20436814714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 6 + 8 + 1 + 4 + 7 + 1 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1023387776 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922379494 JENNIFER MORELAND COTA
Individual
Occupational Therapy Assistant1507 S TUTTLE AVE
SARASOTA, FL 34239
(941) 366-0336
1659642130MRS. JOHANNA JOY LAMANILAO PT
Individual
Physical Therapist1507 S TUTTLE AVE
SARASOTA, FL 34239
(941) 366-0366
1093086571MR. ARMANDO ARIAS JR. PTA
Individual
Physical Therapist1507 S TUTTLE AVE
SARASOTA, FL 34239
(941) 366-9319
1316210743 KRISTINA DARLENE QUEIROZ PTA
Individual
Physical Therapy Assistant1507 S TUTTLE AVE
SARASOTA, FL 34239
(941) 366-0336
1750337226EMERALD OAKES HEALTH CARE ASSOCIATES LLC
Organization
Skilled Nursing Facility1507 S TUTTLE AVE
SARASOTA, FL 34239
(941) 366-0336
1851503288 ERINN W. ZACHARIASEN M.S., CCC-SLP
Individual
Speech-Language Pathologist1507 S TUTTLE AVE
SARASOTA, FL 34239
(941) 366-0336
1114372414 MARIO JAMES DEL RIO COTA
Individual
Occupational Therapy Assistant1507 S TUTTLE AVE
SARASOTA, FL 34239
(941) 366-0336
1285170837 NATASHA NELSON
Individual
Physical Therapy Assistant1507 S TUTTLE AVE
SARASOTA, FL 34239
(941) 366-0336
1811406390 JOSHUA PHILLIP ZINER OTR/L
Individual
Occupational Therapist1507 S TUTTLE AVE
SARASOTA, FL 34239
(941) 366-0336
1114431723 SUSAN ELAINE DIENHART
Individual
Speech-Language Pathologist1507 S TUTTLE AVE
SARASOTA, FL 34239
(941) 366-0336
1013590629 JACQUELINE MARIE GODWIN COTA/L
Individual
Occupational Therapy Assistant1507 S TUTTLE AVE
SARASOTA, FL 34239
(941) 366-0336
1841912896 LISA JOHNSON PTA
Individual
Physical Therapy Assistant1507 S TUTTLE AVE
SARASOTA, FL 34239
(941) 366-0336
1518500263NOVUS PAIN & PHYSICAL MEDICINE - FLORIDA LLC
Organization
Physical Medicine & Rehabilitation1507 S TUTTLE AVE
SARASOTA, FL 34239
(301) 722-0484
1437925047MANA HEALTH PARTNERS PA
Organization
Internal Medicine1507 S TUTTLE AVE
SARASOTA, FL 34239
(732) 730-7480
1285992065 MAURA QUINN
Individual
Physical Medicine & Rehabilitation (Pain Medicine)1507 S TUTTLE AVE
SARASOTA, FL 34239
(301) 722-0484
1689673790DR. ELLENA LOIS BODDIE M.D.
Individual
Hospitalist1507 S TUTTLE AVE
SARASOTA, FL 34239
(301) 722-0484
1811676984SOUTH TUTTLE AVE OPCO LLC
Organization
Skilled Nursing Facility1507 S TUTTLE AVE
SARASOTA, FL 34239
(941) 366-0336
1023578895MR. JAMES M DUROSS IV APRN
Individual
Nurse Practitioner1507 S TUTTLE AVE
SARASOTA, FL 34239
(301) 722-0484
1073235693 JADE ASHLEY HILL FNP-C
Individual
Nurse Practitioner (Family)1507 S TUTTLE AVE
SARASOTA, FL 34239
(301) 722-0484
1104308329 MARK FELIX ROLDAN ARNP
Individual
Nurse Practitioner (Gerontology)1507 S TUTTLE AVE
SARASOTA, FL 34239
(301) 722-0484

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023387776, enumerated in the NPI registry as an "organization" on December 27, 2011

The provider is located at 1507 S Tuttle Ave Sarasota, Fl 34239 and the phone number is (941) 366-0336

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider might be accepting Accepts: Ambetter Health, Ambetter of Alabama, Florida Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 10D0895354 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on December 27, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.