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SPRINGWATER AT WATERMAN VILLAGE
NPI 1013664945
Assisted Living Facility in Mount Dora, FL

Active since March 10, 2022CLIA 10D2274324 · Waiver
2858 LIGHTHOUSE SHORE WAY, MOUNT DORA, FL 32757(352) 383-0051 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Springwater At Waterman Village NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPRINGWATER AT WATERMAN VILLAGE (NPI 1013664945) is a healthcare organization registered as an assisted living facility in Mount Dora, Florida and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through January 2, 2027 and lists Sandra Elaine Vansyckel, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1013664945
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSPRINGWATER AT WATERMAN VILLAGE
Location Address2858 LIGHTHOUSE SHORE WAYMount Dora, FL 32757
Mailing Address250 Brookfield AveMount Dora, FL 32757-9559 · (352) 383-0051
Phone(352) 383-0051
Organization SubpartYesParent: Waterman Communities Inc
Authorized OfficialSandra Elaine VansyckelDirector Of Risk Management · (352) 383-0051
Enumeration DateMarch 10, 2022
NPPES CertifiedFebruary 24, 2022
✔ NPI 1013664945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
2858 LIGHTHOUSE SHORE WAY, Mount Dora, FL 32757
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2274324

Springwater At Waterman Village · Mount Dora, FL
Active · expires Jan 2, 2027
CLIA Number10D2274324
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorAmy L. Eubanks
Laboratory Phone(352) 383-0051
Laboratory LocationSpringwater At Waterman Village2858 Lighthouse Shore Way, Mount Dora, FL 32757
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Springwater At Waterman Village's NPI number?

The NPI number for Springwater At Waterman Village is 1013664945. It was assigned to this organization in the NPPES registry on March 10, 2022.

Where is Springwater At Waterman Village located?

Springwater At Waterman Village is located at 2858 Lighthouse Shore Way, Mount Dora, FL 32757. The listed phone number is (352) 383-0051.

What is Springwater At Waterman Village's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Springwater At Waterman Village hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2274324) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Springwater At Waterman Village was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.