WATERMAN COMMUNITIES INC. NPI 1821165879

NPI Information

  • NPI: 1821165879
  • Provider Name: WATERMAN COMMUNITIES, INC.
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: THE BRIDGEWATER ASSISTED LIVING FACILITY
  • CLIA Number: 10D1048634
  • Address: 500 WATERMAN AVE
    MOUNT DORA, FL
    ZIP 32757
  • Phone: (352) 385-1125

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NPI Details

WATERMAN COMMUNITIES, INC. is an assisted living facility in Mount Dora, FL. The provider is 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. WATERMAN COMMUNITIES, INC. NPI is 1821165879. The provider is registered as an organization entity type.
The provider Is Doing Business As The Bridgewater Assisted Living Facility.

The provider's business location address is:

500 WATERMAN AVE
MOUNT DORA, FL
ZIP 32757-567
Phone: (352) 385-1125

The provider's authorized official is Andrew Dujon .
The authorized official title is Director Of Finance and has the following contact phone number (352) 383-0051.

The CLIA number assigned to this NPI record is 10D1048634 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityAL7869FLORIDAYes

What is NPI?

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This page was last updated on: 3/30/2025

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