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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVIDENCE PARK, INC.

Active Organization

PROVIDENCE PARK, INC. is a Skilled Nursing Facility organization located in WACO, Texas. NPI 1720086655 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · WACO, TX

Registration Details

NPI Number
1720086655
Provider Type
Organization
NPI Issued
Jul 13, 2005 (20.903565309122 yrs)
Last Updated
Jun 23, 2025
Licenses
108085 (TX)
108085 (TX)

Practice Information

Address
300 W HIGHWAY 6
WACO, TX, 767124041
Browse TX providers · Browse ZIP 76712
Phone
2547618500
Fax
2547618050
Primary Specialty
Skilled Nursing Facility
314000000X
Additional Specialty
Skilled Nursing Facility
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.