Provider Demographics
NPI:1710961180
Name:SARASOTA FAMILY YMCA, INC.
Entity Type:Organization
Organization Name:SARASOTA FAMILY YMCA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:L
Authorized Official - Last Name:WEINRICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-951-2916
Mailing Address - Street 1:1 S SCHOOL AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34237-6014
Mailing Address - Country:US
Mailing Address - Phone:941-951-2916
Mailing Address - Fax:941-954-0743
Practice Address - Street 1:1 S SCHOOL AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-6014
Practice Address - Country:US
Practice Address - Phone:941-951-2916
Practice Address - Fax:941-954-0743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1105-20251B00000X
FL1105-21251B00000X
FL1105-22251B00000X
FL1105-23251B00000X
FL1105-24251B00000X
FL1105-25251B00000X
FL0605-001-020311Z00000X
FL1205005024322D00000X
FL0605-002-012322D00000X
FL0605-36322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251B00000XAgenciesCase Management
Not Answered311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
Not Answered322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children