Active NPI
Lifespace Communities Inc
Doing business as Harbour's Edge
- Skilled Nursing Facility
- Delray Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- SNF1195096
- Legal business name
- LIFESPACE COMMUNITIES INC
- Doing business as
- Harbour's Edge
- Practice address
- 401 E Linton Blvd
Delray Beach, FL 33483-5028 - Phone
- (561) 272-7979
- NPI assigned
- Nov 28, 2005
- Last updated
- May 5, 2010
- Organization subpart
- Yes
- Parent organization
- LIFESPACE COMMUNITIES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Scott Harrison
- Title
- President & Ceo
- Phone
- (515) 288-5805
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | SNF1195096 | FL | Primary |
Addresses
Primary practice location
401 E Linton Blvd
Delray Beach, FL 33483-5028
Mailing address
401 E Linton Blvd
Delray Beach, FL 33483-5028
Phone (561) 272-7979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021639900 | Medicaid | FL |
Other names 1
- Harbour's Edge
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070521000195 | FL | Part A Provider - Skilled Nursing Facility | 2365499720 | Practice locations: Delray Beach, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1215910872. Details of each certification follow.
Skilled nursing facility certification: CCN 105598
- Legal name
- LIFESPACE COMMUNITIES INC
- Doing business as
- HARBOUR'S EDGE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Jan 20, 1988
- Last certification
- Jul 11, 2024
- Beds
- 54
- Ownership / control type
- Other Nonprofit
- Multi-facility organization
- Lifespace Communities
- Organization structure
- Corporation
- Incorporated
- Aug 5, 1976 in IA
- Enrollment address
- 401 E Linton Blvd
Delray Beach, FL 33483-5028 - Nursing home name
- HARBOURS EDGE
- 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).
-
dba The Waterford
- Skilled Nursing Facility
- Juno Beach, FL
- NPI 1033157607
2365499720
-
dba Abbey Delray South
- Skilled Nursing Facility
- Delray Beach, FL
- NPI 1073551412
2365499720
-
dba Village on the Green
- Skilled Nursing Facility
- Longwood, FL
- NPI 1578500443
2365499720
-
dba Abbey Delray
- Skilled Nursing Facility
- Delray Beach, FL
- NPI 1750337663
2365499720
-
dba Oak Trace
- Skilled Nursing Facility
- Downers Grove, IL
- NPI 1023016730
2365499720
-
dba Claridge Court
- Skilled Nursing Facility
- Prairie Village, KS
- NPI 1184679532
2365499720
-
dba Friendship Village of Bloomington
- Skilled Nursing Facility
- Bloomington, MN
- NPI 1588606461
2365499720
-
dba Beacon Hill
- Skilled Nursing Facility
- Lombard, IL
- NPI 1750328522
2365499720
-
dba Friendship Village of South Hills
- Skilled Nursing Facility
- Upper St Clair, PA
- NPI 1881647899
2365499720
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Harbours Edge
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Other
- Certified
- Jan 20, 1988
- Medicare certification status
- Active
- Certified beds
- 54
- Chain
- Lifespace Communities
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0645501 | Harbour's Edge | Certificate of waiver | Oct 4, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Life Care Retirement Communities Inc
- 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.
-
dba Abbey Delray
- Assisted Living Facility
- Delray Beach, FL
- NPI 1518910017
-
dba Abbey Delray
- Home Health Agency
- Delray Beach, FL
- NPI 1821044728
-
dba Lifespace Personal Services
- Home Health Agency
- Delray Beach, FL
- NPI 1003792102
-
dba Abbey Delray South
- Skilled Nursing Facility
- Delray Beach, FL
- NPI 1073551412
-
dba Lifespace Personal Services
- Home Health Agency
- Juno Beach, FL
- NPI 1124904230
-
dba Lifespace Personal Services
- Home Health Agency
- Delray Beach, FL
- NPI 1194601286
-
dba Lifespace Personal Services
- Home Health Agency
- Longwood, FL
- NPI 1477439586
-
dba Village on the Green
- Skilled Nursing Facility
- Longwood, FL
- NPI 1578500443
-
dba Friendship Village of Bloomington-Highwood Park
- Custodial Care Facility
- Bloomington, MN
- NPI 1013959998
-
dba Friendship Village of Bloomington
- Home Health Agency
- Bloomington, MN
- NPI 1881631695
Member organizations 5
Organizations listed as members of this organization in the National Provider Directory.
-
dba Oak Trace
- Skilled Nursing Facility
- Downers Grove, IL
- NPI 1023016730
Member Of
-
dba Oak Trace
- Physical Therapy Clinic/Center
- Downers Grove, IL
- NPI 1538366026
Member Of
-
dba Wesley Court Health Center
- Skilled Nursing Facility
- Abilene, TX
- NPI 1346986791
Member Of
Networks
- Freedom Health HMO Network
- HealthSun Health Plans Network
- Optimum HealthCare HMO Network
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Claus Jensen | Corporate Director | Apr 26, 2023 | |
| Gary D Blackford | Corporate Director | Dec 1, 2021 | |
| Nicholas Harshfield | Corporate Officer | Jul 1, 2020 | |
| Lifespace Communities Inc | 5% Or Greater Direct Ownership Interest | Jan 1, 1994 | 100% |
| Operational/Managerial Control | Jan 1, 1994 | ||
| Joyce Darkey-Hrinya | Corporate Director | Jan 15, 2018 | |
| Nikki Kay Kresse | Corporate Officer | Apr 19, 2021 | |
| David Solomon Williams | Corporate Director | Dec 1, 2021 | |
| Lifespace, Inc. | 5% Or Greater Indirect Ownership Interest | Jul 9, 2012 | 100% |
| Patrick Spangler | Corporate Director | Jul 18, 2016 | |
| Jenifer Salamino | Corporate Director | Apr 26, 2023 | |
| Neal Yanofsky | Corporate Director | Jul 18, 2016 | |
| Jonathan Sokeye | Corporate Director | Dec 1, 2021 | |
| Erin Pope | Corporate Officer | Jul 25, 2022 | |
| Amy McDonough | Corporate Director | Apr 26, 2023 | |
| Jesse Jantzen | Corporate Officer | Apr 2, 2020 | |
| Venita E Fields | Corporate Director | Jan 15, 2018 | |
| Clyde Stretch | Corporate Director | Apr 26, 2023 | |
| Ana Dutra | Corporate Director | Jul 18, 2016 | |
| Joseph T Gorman | Corporate Officer | Jul 26, 2022 | |
| Terri Anno | W-2 Managing Employee | Mar 6, 2023 |
Owners & managing parties with NPI records 9
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba The Waterford
- Skilled Nursing Facility
- Juno Beach, FL
- NPI 1033157607
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Abbey Delray South
- Skilled Nursing Facility
- Delray Beach, FL
- NPI 1073551412
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Village on the Green
- Skilled Nursing Facility
- Longwood, FL
- NPI 1578500443
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Abbey Delray
- Skilled Nursing Facility
- Delray Beach, FL
- NPI 1750337663
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Oak Trace
- Skilled Nursing Facility
- Downers Grove, IL
- NPI 1023016730
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Claridge Court
- Skilled Nursing Facility
- Prairie Village, KS
- NPI 1184679532
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Friendship Village of Bloomington
- Skilled Nursing Facility
- Bloomington, MN
- NPI 1588606461
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Beacon Hill
- Skilled Nursing Facility
- Lombard, IL
- NPI 1750328522
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Friendship Village of South Hills
- Skilled Nursing Facility
- Upper St Clair, PA
- NPI 1881647899
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
All facility ownership & control disclosures 15
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Abbey Delray | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 9, 2009 Jul 8, 2009 |
| Abbey Delray South | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 9, 2009 Jul 8, 2009 |
| Friendship Village of Bloomington | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 9, 2009 Jul 8, 2009 |
| Friendship Village of South Hills | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 9, 2009 Jul 8, 2009 |
| Beacon Hill | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 9, 2009 Jul 8, 2009 |
| Claridge Court | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jul 8, 2009 |
| The Waterford | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jul 8, 2009 Apr 24, 2007 |
| Village on the Green | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 1994 Jan 1, 1994 |
| Querencia at Barton Creek | Skilled nursing facility | Operational/Managerial Control | Jun 27, 2019 |
| Greenfields of Geneva | Skilled nursing facility | Operational/Managerial Control (100%) | Feb 1, 2023 |
| Windflower Health Center | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2023 Apr 7, 2025 |
| Oak Trace | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jan 30, 2018 Jan 30, 2018 |
| Newcastle Place | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Apr 16, 2021 Apr 16, 2021 |
| Meadow Lake Health Center | Skilled nursing facility | Operational/Managerial Control (100%) | Jul 19, 2022 |
| Wesley Court Health Center | 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.
-
dba The Waterford
- Skilled Nursing Facility
- Juno Beach, FL
- NPI 1033157607
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Abbey Delray South
- Skilled Nursing Facility
- Delray Beach, FL
- NPI 1073551412
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Village on the Green
- Skilled Nursing Facility
- Longwood, FL
- NPI 1578500443
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Abbey Delray
- Skilled Nursing Facility
- Delray Beach, FL
- NPI 1750337663
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Querencia at Barton Creek
- Skilled Nursing Facility
- Austin, TX
- NPI 1215071428
Operational/Managerial Control
-
- Skilled Nursing Facility
- Geneva, IL
- NPI 1922347293
Operational/Managerial Control
-
dba Windflower Health Center
- Skilled Nursing Facility
- Amarillo, TX
- NPI 1518357680
Adp of the SNF, Operational/Managerial Control
-
dba Oak Trace
- Skilled Nursing Facility
- Downers Grove, IL
- NPI 1023016730
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Claridge Court
- Skilled Nursing Facility
- Prairie Village, KS
- NPI 1184679532
5% Or Greater Direct Ownership Interest
-
dba Friendship Village of Bloomington
- Skilled Nursing Facility
- Bloomington, MN
- NPI 1588606461
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Beacon Hill
- Skilled Nursing Facility
- Lombard, IL
- NPI 1750328522
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Friendship Village of South Hills
- Skilled Nursing Facility
- Upper St Clair, PA
- NPI 1881647899
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Facilities with the same owner 15
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba The Waterford
- Skilled Nursing Facility
- Juno Beach, FL
- NPI 1033157607
Lifespace Communities Inc, Lifespace, Inc.
-
dba Abbey Delray South
- Skilled Nursing Facility
- Delray Beach, FL
- NPI 1073551412
Lifespace Communities Inc, Lifespace, Inc.
-
dba Village on the Green
- Skilled Nursing Facility
- Longwood, FL
- NPI 1578500443
Lifespace Communities Inc, Lifespace, Inc.
-
dba Abbey Delray
- Skilled Nursing Facility
- Delray Beach, FL
- NPI 1750337663
Lifespace Communities Inc
-
dba Querencia at Barton Creek
- Skilled Nursing Facility
- Austin, TX
- NPI 1215071428
Lifespace Communities Inc
-
- Skilled Nursing Facility
- Geneva, IL
- NPI 1922347293
Lifespace Communities Inc
-
dba Windflower Health Center
- Skilled Nursing Facility
- Amarillo, TX
- NPI 1518357680
Lifespace Communities Inc
-
dba Oak Trace
- Skilled Nursing Facility
- Downers Grove, IL
- NPI 1023016730
Lifespace Communities Inc
-
dba Claridge Court
- Skilled Nursing Facility
- Prairie Village, KS
- NPI 1184679532
Lifespace Communities Inc
-
dba Friendship Village of Bloomington
- Skilled Nursing Facility
- Bloomington, MN
- NPI 1588606461
Lifespace Communities Inc
-
dba Beacon Hill
- Skilled Nursing Facility
- Lombard, IL
- NPI 1750328522
Lifespace Communities Inc
-
dba Friendship Village of South Hills
- Skilled Nursing Facility
- Upper St Clair, PA
- NPI 1881647899
Lifespace Communities Inc, Lifespace, Inc.
Practitioners & affiliated clinicians
Affiliated clinicians 8
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Delray Beach, FL
- NPI 1730399437
Nursing home
-
- Internal Medicine Physician
- Delray Beach, FL
- NPI 1497728877
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273017600000",
"number": "1215910872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E LINTON BLVD",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334835028",
"telephone_number": "561-272-7979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E LINTON BLVD",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334835028",
"telephone_number": "561-272-7979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFESPACE COMMUNITIES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIFESPACE COMMUNITIES INC",
"enumeration_date": "2005-11-28",
"last_updated": "2010-05-05",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "515-288-5805",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "FL",
"license": "SNF1195096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021639900",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Harbour's Edge",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Delray Beach, FL
- Lifescape Solutions Wellness, LLC.
- Lifeskills South Florida Outpatient LLC
- Lifespace Communities Inc (Lifespace Personal Services)
- Lifespace Communities Inc (Abbey Delray South)
- Lifespace Communities Inc (Lifespace Personal Services)
- Lifespace Communities Inc (Abbey Delray)
- Lifespan Psychiatric Care
- Lifestyles College of Development
- Lifestyles College of Development
- Michele Hobbi Lifland, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.