LCS Sandhill Cove LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LCS SANDHILL COVE LLC

Doing business as

Water's Edge Health and Rehabilitation

Practice address

1500 SW Capri St
Palm City, FL 34990-4518

Phone

(772) 223-5863

Fax

(772) 283-7092

NPI assigned

Jul 19, 2018

Organization subpart

No

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

Authorized official

Name

Diane C Bridgewater

Title

Manager of Managing Member

Phone

(515) 875-4500

Specialties & licenses 1

Addresses

Other names 1

• Water's Edge Health and Rehabilitation Doing business as

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1104302405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SW CAPRI ST",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349904518",
            "telephone_number": "772-223-5863",
            "fax_number": "772-283-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SW CAPRI ST",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349904518",
            "telephone_number": "772-223-5863",
            "fax_number": "772-283-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LCS SANDHILL COVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "BRIDGEWATER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER OF MANAGING MEMBER",
        "authorized_official_telephone_number": "515-875-4500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Water's Edge Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marylou Irwin Lang
• Justin Lanzetta
• Susan Lauderdale, LMFT
• Megan Laviano
• Rochelle Lawrence
• Kellie Nicole League
• Tony Leakehe, DPT
• Taylor N Ledford
• Antoinette Lee
• Jason Wayne Lee, MS, LMHC

• Skilled Nursing Facility in Palm City, FL
• Providers in Palm City, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.