Provider Profile
EMPATH TIDEWELL HOSPICE
Hospice
FACILITY PROFILE
Accredited by: Community Health Accreditation Program
Street Address
- 5955 RAND BOULEVARD
SARASOTA, FL 34238-5160
County: Sarasota - Phone: (941) 552-7500
Mailing Address
- 5955 RAND BLVD
SARASOTA, FL 34238-5160
County: Sarasota - Phone: (941) 552-7500
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Facility Information:
| Facility/Provider Type: | Hospice | |||||||||||||||
| Administrator: | Not Available | |||||||||||||||
| Financial Officer: | SAIDA JANNANE BOUHAMID | |||||||||||||||
| Owner/Licensee: | TIDEWELL HOSPICE INC | |||||||||||||||
| Owner/Licensee Since: | 10/21/2005 | |||||||||||||||
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| Profit Status: | Not-For-Profit | |||||||||||||||
| Management Company: | Not Available | |||||||||||||||
| Manager Since: | Not Available | |||||||||||||||
| Licensed Beds: | 64 | |||||||||||||||
| Bed Types: | Total Capacity: 64 | |||||||||||||||
| AHCA Number (File Number): | 22910034 | |||||||||||||||
| AHCA Field Office: | 08 | |||||||||||||||
| License Number: | 5028096 | |||||||||||||||
| Current License Effective: | 11/20/2024 | |||||||||||||||
| Current License Expires: | 2/28/2026 | |||||||||||||||
| License Status: | LICENSED | |||||||||||||||
Services/Characteristics
| Service Area: | CharlotteDesotoManateeSarasota |
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| Change of ownership occurred 12/1/2015 | |||||
Other Addresses
| Name | Street Address | City | County | State | Zip |
|---|---|---|---|---|---|
| Satellite Office | 1144 VERONICA STREET | PORT CHARLOTTE | Charlotte | FL | 33952 |
| Satellite Office | 917 NORTH ARCADIA AVENUE BUILDING B | ARCADIA | Desoto | FL | 34266 |
| Inpatient Facility | 210 WEXFORD BOULEVARD | VENICE | Sarasota | FL | 34293 |
| Inpatient Facility | 1158 VERONICA STREET | PORT CHARLOTTE | Charlotte | FL | 33952 |
| Satellite Office | 220 WEXFORD BOULEVARD | VENICE | Sarasota | FL | 34293 |
| Satellite Office | 3355 26TH STREET WEST | BRADENTON | Manatee | FL | 34205 |
| Satellite Office | 6310 CAPITAL DRIVE SUITE 100 | BRADENTON | Manatee | FL | 34202 |
| Satellite Office | 3550 TAMIAMI TRAIL | SARASOTA | Sarasota | FL | 34239 |
| Inpatient Facility | 919 N ARCADIA AVENUE, BUILDING B | ARCADIA | Desoto | FL | 34266 |
| Inpatient Facility | 2504 34TH AVENUE WEST | BRADENTON | Manatee | FL | 34205 |
| Inpatient Facility | 11535 RANGELAND PKWY | BRADENTON | Manatee | FL | 34211 |
| Inpatient Facility | 5957 RAND BOULEVARD | SARASOTA | Sarasota | FL | 34238 |
| Satellite Office | 12034 NORTH ACCESS ROAD | PORT CHARLOTTE | Charlotte | FL | 33981 |
| Satellite Office | 4151 37TH ST E | PALMETTO | Manatee | FL | 34221-9249 |
Important information and facility/provider definitions can be found in the Glossary.
Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.