ISLE AT WATERCREST - MANSFIELD, LLC
NPI 1922309962
Skilled Nursing Facility in Mansfield, TX

Active since November 08, 2010CLIA 45D2076858 · Waiver
200 E. DEBBIE LANE, MANSFIELD, TX 76063(817) 453-3900(817) 453-3909 Get Directions Write a Review

NPPES record last updated: February 16, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Isle At Watercrest - Mansfield, Llc NPPES

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

ISLE AT WATERCREST - MANSFIELD, LLC (NPI 1922309962) is a healthcare organization registered as a skilled nursing facility in Mansfield, Texas and active in the NPI registry since November 2010. The organization holds a CLIA Waiver certificate valid through July 17, 2028 and lists Craig Willard Spaulding, Manager, as its authorized official.

NPPES Registry Identity

NPI1922309962
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMANSFIELD SNF LLC
Location Address200 E. DEBBIE LANEMansfield, TX 76063
Mailing Address5307 E Mockingbird Ln, Suite 1010Dallas, TX 75206-5109 · (214) 370-2600 · Fax (214) 370-2699
Fax(817) 453-3909
Organization SubpartNo
Authorized OfficialCraig Willard SpauldingManager · (214) 370-2600
Enumeration DateNovember 8, 2010
Last NPPES UpdateFebruary 16, 2011
NPI 1922309962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
200 E. DEBBIE LANE, Mansfield, TX 76063

Other Names 1

Doing Business AsIsle At Watercrest - Mansfield, Llc

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 45D2076858

Isle At Watercrest-Mansfield · Mansfield, TX
Active · expires Jul 17, 2028
CLIA Number45D2076858
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 18, 2026
Certificate Expiration DateJuly 17, 2028
Laboratory DirectorTommie A. Cutriss
Laboratory Phone(817) 453-3900
Laboratory LocationIsle At Watercrest-Mansfield200 E Debbie Lane, Mansfield, TX 76063
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 Mansfield Snf LLC's NPI number?

The NPI number for Mansfield Snf LLC is 1922309962. It was assigned to this organization in the NPPES registry on November 8, 2010. The provider is doing business as Isle At Watercrest - Mansfield, LLC.

Where is Mansfield Snf LLC located?

Mansfield Snf LLC is located at 200 E. Debbie Lane, Mansfield, TX 76063. The listed phone number is (817) 453-3900.

What is Mansfield Snf LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Mansfield Snf LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2076858) is associated with this NPI, valid through July 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mansfield Snf LLC was last updated on February 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.