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EPIPHANY SOUL
NPI 1669349148
Residential Treatment Facility, Emotionally Disturbed Children in Waco, TX

Active since October 20, 2025
5900 CLOVER LN, WACO, TX 76710(254) 412-9073 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 4, 2026, May 22, 2026, Nov 11, 2025 (3 updates tracked since 2025).

About Epiphany Soul NPPES

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

EPIPHANY SOUL (NPI 1669349148) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Waco, Texas and active in the NPI registry since October 2025. The organization lists Kim Tatum, Owner/executive Director, as its authorized official.

NPPES Registry Identity

NPI1669349148
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameEPIPHANY SOUL
Location Address5900 CLOVER LNWaco, TX 76710-2809
Mailing AddressPo Box 24245Waco, TX 76702-4245 · (254) 870-4049 · Fax (254) 232-0219
Phone(254) 412-9073
Organization SubpartNo
Authorized OfficialKim TatumOwner/executive Director · (254) 412-9073
Enumeration DateOctober 20, 2025
Last NPPES UpdateJune 4, 20263 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1669349148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
5900 CLOVER LN, Waco, TX 76710
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Other Providers at the Same Location NPPES 2

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

TEXAN NURSING AND REHAB OF WACO LLC
Skilled Nursing Facility
5900 CLOVER LN
WACO, TX 76710
McLennan County (254) 772-0610
APRIL W TATUM MSN, RN
Registered Nurse
5900 CLOVER LN
WACO, TX 76710
McLennan County (254) 870-4049

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 Epiphany Soul's NPI number?

The NPI number for Epiphany Soul is 1669349148. It was assigned to this organization in the NPPES registry on October 20, 2025.

Where is Epiphany Soul located?

Epiphany Soul is located at 5900 Clover Ln, Waco, TX 76710. The listed phone number is (254) 412-9073.

What is Epiphany Soul's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Epiphany Soul was last updated on June 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.