NPIMap

Organization Active NPI

Lifespace Communities Inc

Doing business as The Waterford

  • Skilled Nursing Facility
  • Juno Beach, FL
National Provider Identifier
1033157607
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1587096 Issued in FL
Legal business name
LIFESPACE COMMUNITIES INC
Doing business as
The Waterford
Practice address
601 Universe Blvd
Juno Beach, FL 33408-2444
Phone
(561) 627-3800
Fax
(561) 694-0242
NPI assigned
Jun 3, 2006
Last updated
Mar 11, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
LIFESPACE COMMUNITIES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Authorized official

Name
Jodi Hirsch
Title
SVP & General Counsel
Phone
(515) 288-5805

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 21181096 FL
Skilled Nursing Facility 314000000X SNF1587096 FL Primary

Addresses

Primary practice location

601 Universe Blvd
Juno Beach, FL 33408-2444

Mailing address

601 Universe Blvd
Juno Beach, FL 33408-2444
Phone (561) 627-3800

Other identifiers 2

IdentifierTypeStateIssuer
L22OtherFLBC/BS
020661000MedicaidFL

Other names 1

  • The Waterford Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070521000193 FL Part A Provider - Skilled Nursing Facility 2365499720 Practice locations: Juno Beach, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033157607. Details of each certification follow.

Skilled nursing facility certification: CCN 105404

Legal name
LIFESPACE COMMUNITIES INC
Doing business as
THE WATERFORD
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 22, 1982
Last certification
Feb 6, 2025
Beds
60
Ownership / control type
Nonprofit Corporation
Multi-facility organization
LIFESPACE
Organization structure
CorporationNon-profit
Incorporated
Aug 5, 1976 in IA
Enrollment address
601 Universe Blvd
Juno Beach, FL 33408-2444
Nursing home name
WATERFORD, THE
Affiliated entity
LIFESPACE COMMUNITIES

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Waterford, theCCN 105404 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Apr 22, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6045.2 residents per day on average
Chain
Lifespace Communities15 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Life Care Retirement Communities Inc27 organizations share this tax ID, including this one
Part of
Life Care Retirement Communities Inc

Other organizations with this tax ID 26

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

View all 26

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • HealthSun Health Plans Network
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Claus Jensen Individual Corporate Director Apr 26, 2023
Gary D Blackford Individual Corporate Director Dec 1, 2021
Nicholas Harshfield Individual Corporate OfficerChief Financial Officer Jul 1, 2020
Marci Geist Individual W-2 Managing EmployeeAdministrator Oct 4, 2021
Lifespace Communities Inc Organization, West Des Moines, IA Non-profit 5% Or Greater Direct Ownership Interest Jul 8, 2009 100%
Operational/Managerial Control Apr 24, 2007
Joyce Darkey-Hrinya Individual Corporate Director Jan 15, 2018
Nikki Kay Kresse Individual Corporate OfficerChief People Officer Apr 19, 2021
David Solomon Williams Individual Corporate Director Dec 1, 2021
Lifespace, Inc. Organization, West Des Moines, IA Non-profit 5% Or Greater Indirect Ownership Interest Jul 9, 2012 100%
Patrick Spangler Individual Corporate Director Jul 18, 2016
Jenifer Salamino Individual Corporate Director Apr 26, 2023
Neal Yanofsky Individual Corporate Director Jul 18, 2016
Jonathan Sokeye Individual Corporate Director Dec 1, 2021
Erin Pope Individual Corporate Officer Jul 25, 2022
Amy McDonough Individual Corporate Director Apr 26, 2023
Jesse Jantzen Individual Corporate OfficerPresident & Ceo Apr 1, 2020
Venita E Fields Individual Corporate Director Jan 15, 2018
Clyde Stretch Individual Corporate Director Apr 26, 2023
Ana Dutra Individual Corporate Director Jul 18, 2016
Joseph T Gorman Individual Corporate OfficerSecretary Jul 26, 2022

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Lifespace Communities Inc

    dba Abbey Delray South

    • Skilled Nursing Facility
    • Delray Beach, FL
    • NPI 1073551412

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Lifespace Communities Inc

    dba Harbour's Edge

    • Skilled Nursing Facility
    • Delray Beach, FL
    • NPI 1215910872

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Lifespace Communities Inc

    dba Village on the Green

    • Skilled Nursing Facility
    • Longwood, FL
    • NPI 1578500443

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Lifespace Communities Inc

    dba Abbey Delray

    • Skilled Nursing Facility
    • Delray Beach, FL
    • NPI 1750337663

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Lifespace Communities Inc

    dba Oak Trace

    • Skilled Nursing Facility
    • Downers Grove, IL
    • NPI 1023016730

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Lifespace Communities Inc

    dba Claridge Court

    • Skilled Nursing Facility
    • Prairie Village, KS
    • NPI 1184679532

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Lifespace Communities Inc

    dba Friendship Village of Bloomington

    • Skilled Nursing Facility
    • Bloomington, MN
    • NPI 1588606461

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Lifespace Communities Inc

    dba Beacon Hill

    • Skilled Nursing Facility
    • Lombard, IL
    • NPI 1750328522

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Lifespace Communities Inc

    dba Friendship Village of South Hills

    • Skilled Nursing Facility
    • Upper St Clair, PA
    • NPI 1881647899

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

All facility ownership & control disclosures 15

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Abbey DelrayDelray Beach, FL, CCN 105335 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 9, 2009
Jul 8, 2009
Abbey Delray SouthDelray Beach, FL, CCN 105411 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 9, 2009
Jul 8, 2009
Friendship Village of BloomingtonBloomington, MN, CCN 245229 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 9, 2009
Jul 8, 2009
Friendship Village of South HillsUpper St Clair, PA, CCN 395688 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 9, 2009
Jul 8, 2009
Beacon HillLombard, IL, CCN 145522 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jul 9, 2009
Jul 8, 2009
Claridge CourtPrairie Village, KS, CCN 175343 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jul 8, 2009
Harbour's EdgeDelray Beach, FL, CCN 105598 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 1, 1994
Jan 1, 1994
Village on the GreenLongwood, FL, CCN 105556 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 1994
Jan 1, 1994
Querencia at Barton CreekAustin, TX, CCN 676198 Skilled nursing facility Operational/Managerial Control Jun 27, 2019
Greenfields of GenevaGeneva, IL, CCN 146166 Skilled nursing facility Operational/Managerial Control (100%) Feb 1, 2023
Windflower Health CenterAmarillo, TX, CCN 675904 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2023
Apr 7, 2025
Oak TraceDowners Grove, IL, CCN 145804 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 30, 2018
Jan 30, 2018
Newcastle PlaceMequon, WI, CCN 525668 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 16, 2021
Apr 16, 2021
Meadow Lake Health CenterTyler, TX, CCN 676286 Skilled nursing facility Operational/Managerial Control (100%) Jul 19, 2022
Wesley Court Health CenterAbilene, TX, CCN 676090 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 19, 2022
Jul 19, 2022

Owned or controlled facilities with NPI records 15

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 15

Facilities with the same owner 15

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 15

Practitioners & affiliated clinicians

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1033157607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 UNIVERSE BLVD",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "334082444",
            "telephone_number": "561-627-3800",
            "fax_number": "561-694-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 UNIVERSE BLVD",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "334082444",
            "telephone_number": "561-627-3800",
            "fax_number": "561-694-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPACE COMMUNITIES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFESPACE COMMUNITIES INC",
        "enumeration_date": "2006-06-03",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "HIRSCH",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "SVP & GENERAL COUNSEL",
        "authorized_official_telephone_number": "515-288-5805"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "21181096",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1587096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "L22",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020661000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Waterford",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Waterford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Juno Beach, FL

Sources for this page

Verify at the official NPI Registry.