NPIMap

Organization Active NPI

Waterman Communities Inc

  • Assisted Living Facility
  • Mount Dora, FL
National Provider Identifier
1821165879
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL7869 Issued in FL
Legal business name
WATERMAN COMMUNITIES INC
Doing business as
The Bridgewater Assisted Living Facility
Practice address
500 Waterman Ave
Mount Dora, FL 32757-9567
Phone
(352) 385-1125
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Mr. Andrew Dujon
Title
President & Ceo
Phone
(352) 383-0051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL7869 FL Primary

Addresses

Primary practice location

500 Waterman Ave
Mount Dora, FL 32757-9567

Mailing address

250 Brookfield Ave
Mount Dora, FL 32757-9559

Other names 1

  • The Bridgewater Assisted Living Facility Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Waterman Communities Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1821165879",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WATERMAN AVE",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327579567",
            "telephone_number": "352-385-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERMAN COMMUNITIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "DUJON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "352-383-0051",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL7869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Bridgewater Assisted Living Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Dora, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.