PECAN RIDGE LIVING CENTER LTD
NPI 1891786638
Intermediate Care Facility, Mental Illness in Waco, TX

NPI Status: Active since November 01, 2005

Contact Information

1916 SELEY AVE
WACO, TX
ZIP 76704
Phone: (254) 799-6291
Fax: (254) 799-5340

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About PECAN RIDGE LIVING CENTER LTD

This page provides the complete NPI Profile along with additional information for Pecan Ridge Living Center Ltd, a provider established in Waco, Texas operating as a Intermediate Care Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1891786638 assigned on November 2005. The practitioner's primary taxonomy code is 310500000X with license number 003799 (TX). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mike Hawker (Cfo)

NPI
1891786638
Provider Name
PECAN RIDGE LIVING CENTER LTD
Entity Type
Organization
Location Address
1916 SELEY AVE WACO, TX 76704
Location Phone
(254) 799-6291
Location Fax
(254) 799-5340
Mailing Address
845 PROTON RD SAN ANTONIO, TX 78258
Mailing Phone
(210) 340-7155
Mailing Fax
(254) 799-5340
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-01-2005
Last Update Date
06-17-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Intermediate Care Facility, Mental Illness

Taxonomy Code
310500000X
Type
Nursing & Custodial Care Facilities
License No.
003799
License State
TX
Taxonomy Description
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MIKE HAWKER

Authorized Official Title
CFO
Authorized Official Phone
(210) 340-7155

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
001012117MEDICAID (05)TX 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1891786638, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
1
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 8 + 1 + 1 + 4 + 8 + 1 + 2 + 6 + 6 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1891786638.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891786638, enumerated as an "organization" on November 01, 2005.

The provider is located at 1916 SELEY AVE WACO, TX 76704 and the phone number is (254) 799-6291.

Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.