Organization Active NPI

Sandhill Cove Properties Inc.

Doing business as Water's Edge Extended Care

  • Skilled Nursing Facility
  • Palm City, FL
National Provider Identifier
1710978291
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
SNF1585096 Issued in FL
Legal business name
SANDHILL COVE PROPERTIES INC.
Doing business as
Water's Edge Extended Care
Practice address
1500 SW Capri St
Palm City, FL 34990-4518
Phone
(772) 283-7775
Fax
(772) 283-7092
NPI assigned
Nov 2, 2005
Last updated
Sep 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Authorized official

Name
Mrs. Lisa D. Grieve
Title
Vice President, Secretary and Treas
Phone
(515) 875-4754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X SNF1585096 FL Primary

Addresses

Primary practice location

1500 SW Capri St
Palm City, FL 34990-4518

Mailing address

1500 SW Capri St
Palm City, FL 34990-4518
Phone (772) 283-7775

Other identifiers 1

IdentifierTypeStateIssuer
012315200MedicaidFL

Other names 1

  • Water's Edge Extended Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1710978291",
    "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": "772-283-7775",
            "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": "772-283-7775",
            "fax_number": "772-283-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDHILL COVE PROPERTIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "GRIEVE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "VICE PRESIDENT, SECRETARY AND TREAS",
        "authorized_official_telephone_number": "515-875-4754",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1585096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012315200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Water's Edge Extended Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.