CRESTVIEW HEALTHCARE RESIDENCE LTD
NPI 1508813601
Skilled Nursing Facility in Waco, TX

Active since May 27, 2006CLIA 45D0680466 · Waiver
1400 LAKE SHORE DR, WACO, TX 76708(254) 753-0291(254) 753-3343 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crestview Healthcare Residence Ltd NPPES

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

CRESTVIEW HEALTHCARE RESIDENCE LTD (NPI 1508813601) is a healthcare organization registered as a skilled nursing facility in Waco, Texas and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Robert Scott Marwitz, President, Coo Chcr Inc. Gen. Ptr., as its authorized official.

NPPES Registry Identity

NPI1508813601
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCRESTVIEW HEALTHCARE RESIDENCE LTD
Location Address1400 LAKE SHORE DRWaco, TX 76708-3718
Mailing Address2524 Austin AveWaco, TX 76710-7418 · (254) 753-7367 · Fax (254) 753-7367
Fax(254) 753-3343
Organization SubpartNo
Authorized OfficialRobert Scott MarwitzPresident, Coo Chcr Inc. Gen. Ptr. · (254) 753-7367
Enumeration DateMay 27, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1508813601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in TX · 113045
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.
1400 LAKE SHORE DR, Waco, TX 76708

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 45D0680466

Crestview Healthcare Residence · Waco, TX
Active · expires Aug 31, 2026
CLIA Number45D0680466
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorShirley Alexander
Laboratory Phone(254) 753-0291
Laboratory LocationCrestview Healthcare Residence1400 Lake Shore Drive, Waco, TX 76708
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
1400 LAKE SHORE DR
WACO, TX 76708
Occupational Therapy Assistant
1400 LAKE SHORE DR
WACO, TX 76708
Skilled Nursing Facility
1400 LAKE SHORE DR
WACO, TX 76708
Physical Therapist (Geriatrics)
1400 LAKE SHORE DR
WACO, TX 76708
Skilled Nursing Facility
1400 LAKE SHORE DR
WACO, TX 76708
Physical Therapy Assistant
1400 LAKE SHORE DR
WACO, TX 76708

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 Crestview Healthcare Residence Ltd's NPI number?

The NPI number for Crestview Healthcare Residence Ltd is 1508813601. It was assigned to this organization in the NPPES registry on May 27, 2006.

Where is Crestview Healthcare Residence Ltd located?

Crestview Healthcare Residence Ltd is located at 1400 Lake Shore Dr, Waco, TX 76708. The listed phone number is (254) 753-0291.

What is Crestview Healthcare Residence Ltd's specialty?

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

Does Crestview Healthcare Residence Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0680466) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Crestview Healthcare Residence Ltd was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.