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

Q: What is Pecan Ridge Living Center Ltd's NPI number?

The NPI number for Pecan Ridge Living Center Ltd is 1891786638. It was assigned to this organization in the NPPES registry on November 1, 2005.

Q: What is Pecan Ridge Living Center Ltd's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.

Active since November 01, 2005

1916 SELEY AVE, WACO, TX 76704(254) 799-6291(254) 799-5340 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Pecan Ridge Living Center Ltd NPPES

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

PECAN RIDGE LIVING CENTER LTD (NPI 1891786638) is a healthcare organization registered as an intermediate care facility, mental illness in Waco, Texas and active in the NPI registry since November 2005. The organization lists Mike Hawker, Cfo, as its authorized official.

NPPES Registry Identity

NPI1891786638

Entity TypeOrganization

Primary Taxonomy310500000X

Legal Business NamePECAN RIDGE LIVING CENTER LTD

Location Address1916 SELEY AVEWaco, TX 76704-2057

Mailing Address845 Proton RdSan Antonio, TX 78258-4203 · (210) 340-7155 · Fax (210) 340-4832

Phone(254) 799-6291

Fax(254) 799-5340

Organization SubpartYesParent: Surrey Holdings, Inc

Authorized OfficialMike HawkerCfo · (210) 340-7155

Enumeration DateNovember 1, 2005

Last NPPES UpdateJune 17, 2008

✔ NPI 1891786638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code310500000X

License✔ Licensed in TX · 003799

Definition

A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

1916 SELEY AVE, Waco, TX 76704

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Other Identifiers 1

Medicaid001012117TX

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 Pecan Ridge Living Center Ltd's NPI number?

The NPI number for Pecan Ridge Living Center Ltd is 1891786638. It was assigned to this organization in the NPPES registry on November 1, 2005.

Where is Pecan Ridge Living Center Ltd located?

Pecan Ridge Living Center Ltd is located at 1916 Seley Ave, Waco, TX 76704. The listed phone number is (254) 799-6291.

What is Pecan Ridge Living Center Ltd's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.

When was this NPI record last updated?

The NPPES record for Pecan Ridge Living Center Ltd was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.