OrganizationActive
Watermark Park Lane, LLC
NPI 1376150409 · Skilled Nursing Facility · West Chester, PA
Provider details
- NPI number
- 1376150409
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- David Freshwater, Authorized Official(520) 797-4000
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(63/100 index)
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
1615 E Boot Rd
West Chester, PA 19380-6001
Phone: (484) 714-0490
Street-level locationGet directions
Mailing address
2020 W Rudasill Rd
Tucson, AZ 85704
Registry dates
- Enumerated
- 2020-09-23
- Last updated
- 2023-01-19
- Certified
- 2023-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.