Heritage Waterside
NPI 1114501574 · Assisted Living Facility · Daytona Beach Shores, FL
Heritage Waterside is a Assisted Living Facility organization in Daytona Beach Shores, FL (NPI 1114501574).
Provider details
- NPI number
- 1114501574
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Nagrani, Owner(386) 256-2015
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-05-11
- Last updated
- 2021-05-11
- Certified
- 2021-05-11
Frequently asked questions
- What is Heritage Waterside's NPI number?
- Heritage Waterside's National Provider Identifier (NPI) is 1114501574, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Heritage Waterside?
- Heritage Waterside is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Heritage Waterside located?
- Heritage Waterside's practice location on file with NPPES is 3704 Cardinal Blvd, Daytona Beach Shores, FL 32118-7301.
- What is Heritage Waterside's phone number?
- The practice phone number listed in the NPPES registry for Heritage Waterside is (386) 256-2015.
- Who is the authorized official for Heritage Waterside?
- The authorized official listed on Heritage Waterside's NPPES record is Mark Nagrani, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Heritage Waterside's NPI active?
- Yes — Heritage Waterside's NPI (1114501574) is active in the NPPES registry as of the last update on 2021-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.