Active NPI
Sandhill Cove LLC
Doing business as Water's Edge Health and Rehabilitation
- Skilled Nursing Facility
- Palm City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- 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
- Nov 29, 2023
- Last updated
- Nov 29, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jason C. Victor
- Title
- Sr. VP and Treasurer
- Phone
- (515) 875-4619
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NU | ||
| Skilled Nursing Facility | 314000000X | NU | 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) 223-5863
Other names 1
- Water's Edge Health and Rehabilitation
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240806002579 | FL | Part A Provider - Skilled Nursing Facility | 4789121997 | Practice locations: Palm City, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1962278127. Details of each certification follow.
Skilled nursing facility certification: CCN 105828
- Legal name
- SANDHILL COVE LLC
- Doing business as
- WATER'S EDGE HEALTH AND REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Oct 1, 1993
- Last certification
- May 30, 2025
- Beds
- 36
- Ownership / control type
- Corporation
- Most recent change of ownership
- Jul 9, 2024
- Organization structure
- LLC
- Enrollment address
- 1500 SW Capri St
Palm City, FL 34990-4518 - Nursing home name
- WATERS EDGE HEALTH AND REHABILITATION
- Affiliated entity
- LIFE CARE SERVICES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Waters Edge Health and Rehabilitation
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 1, 1993
- Medicare certification status
- Active
- Certified beds
- 36
- Chain
- Life Care Services
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 28
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 |
|---|---|---|---|
| Life Care Companies LLC | Indirect Ownership Interest | Jul 9, 2024 | 100% |
| Erin Rachel Elizabeth Montegut | Operational/Managerial Control | Jul 9, 2024 | |
| Adp of the SNF | Jul 9, 2024 | ||
| Daniel L Lahey | Managing Control - Governing Body | Jul 9, 2024 | |
| Jason C Victor | Operational/Managerial Control | Jul 9, 2024 | |
| Managing Control - Governing Body | Jul 9, 2024 | ||
| Bridgette C Uhlemann | Managing Control - Governing Body | Jul 9, 2024 | |
| LCS Living LLC | Indirect Ownership Interest | May 1, 2026 | 100% |
| Life Care Services Communities LLC | Indirect Ownership Interest | Jul 9, 2024 | 100% |
| Gelynna Shaw | Managing Control - Governing Body | Jul 9, 2024 | |
| LCS Holding Company LLC | Indirect Ownership Interest | Jul 9, 2024 | 100% |
| LCS Living Intermediate II LLC | Indirect Ownership Interest | May 1, 2026 | 100% |
| Oak Investment Trust | Indirect Ownership Interest | Jul 9, 2024 | 19.19% |
| LCS Living Intermediate I LLC | Indirect Ownership Interest | May 1, 2026 | 100% |
| Paul a Lowery | Operational/Managerial Control | Jul 9, 2024 | |
| Adp of the SNF | Jul 9, 2024 | ||
| McCarthy Group LLC | Indirect Ownership Interest | Jul 9, 2024 | 10.88% |
| Oak Investment Trust II | Indirect Ownership Interest | Jul 9, 2024 | 51.55% |
| John Christopher Bird | Managing Control - Governing Body | Jul 9, 2024 | |
| James C Davis | Managing Control - Governing Body | Jul 9, 2024 | |
| LCS Management Holding Company LLC | Indirect Ownership Interest | Jul 9, 2024 | 5.28% |
| LCS Sandhill Cove Holdco LLC | Indirect Ownership Interest | Jul 9, 2024 | 100% |
| Bank of America Corp | 5% Or Greater Mortgage Interest | Jul 9, 2024 | 10% |
| 5% Or Greater Security Interest | Jul 9, 2024 | 10% | |
| LCS Sandhill Cove JV LLC | Direct Ownership Interest | Jul 9, 2024 | 100% |
| Rci Legacy Holdings LLC | Indirect Ownership Interest | Jul 9, 2024 | 33.49% |
| LCS Living Holdings LLC | Indirect Ownership Interest | May 1, 2026 | 100% |
| Shawn Michael Perrigo | Operational/Managerial Control | Jul 9, 2024 | |
| Adp of the SNF | Jul 9, 2024 | ||
| Patrick Duffy | Managing Control - Governing Body | Jul 9, 2024 | |
| Redwood Holdings LLC | Indirect Ownership Interest | Jul 9, 2024 | 33.17% |
| LCS CC Holdings Inc | Indirect Ownership Interest | May 1, 2026 | 45.59% |
| MPM Senior Living Investors LLC | Indirect Ownership Interest | Jul 9, 2024 | 15.64% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Stuart, FL
- NPI 1447272240
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Stuart, FL
- NPI 1447272240
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Nurse Practitioner
- Palm City, FL
- NPI 1902246416
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701216000000",
"number": "1962278127",
"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": "SANDHILL COVE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-29",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A",
"authorized_official_last_name": "VICTOR",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "SR. VP AND TREASURER",
"authorized_official_telephone_number": "515-875-4619",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Water's Edge Health and Rehabilitation",
"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 Nov 29, 2023; 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.