Springwater at Waterman Village

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SPRINGWATER AT WATERMAN VILLAGE

Practice address

2858 Lighthouse Shore Way
Mount Dora, FL 32757

Phone

(352) 383-0051

NPI assigned

Mar 10, 2022

Organization subpart

Yes

Parent organization

WATERMAN COMMUNITIES INCAs reported in NPPES

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

Authorized official

Name

Sandra Elaine Vansyckel, RN

Title

Director of Risk Management

Phone

(352) 383-0051

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Tax ID family

Waterman Communities Inc6 organizations share this tax ID, including this one

Part of

Waterman Communities Inc

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Waterman Communities Inc

  • Skilled Nursing Facility
  • Mount Dora, FL
  • NPI 1063588226
  NPD tax ID
• Waterman Communities Inc

  • Physical Therapy Clinic/Center
  • Mount Dora, FL
  • NPI 1144053752
  NPD tax ID
• Waterman Communities Inc

  • Internal Medicine Physician
  • Mount Dora, FL
  • NPI 1477402386
  NPD tax ID
• Waterman Communities Inc

  • Home Health Agency
  • Mount Dora, FL
  • NPI 1750458709
  NPD tax ID
• Waterman Communities Inc

  • Assisted Living Facility
  • Mount Dora, FL
  • NPI 1821165879
  NPD tax ID

Locations

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1013664945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BROOKFIELD AVE",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327579559",
            "telephone_number": "352-383-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2858 LIGHTHOUSE SHORE WAY",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "32757",
            "telephone_number": "352-383-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGWATER AT WATERMAN VILLAGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WATERMAN COMMUNITIES INC",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "VANSYCKEL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "DIRECTOR OF RISK MANAGEMENT",
        "authorized_official_telephone_number": "352-383-0051",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharlene Hope Smith, ARNP
• Hayley Snell
• Southern Respiratory, Inc
• Rebecca Spencer
• Tianna Victoria Lee Spencer
• Shivaun Markese Standley
• Hillary Starinieri
• Kaitlyn Stark
• Alexis Steadham
• Josiah Stewart

• Assisted Living Facility in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.