Providence Park, Inc
Providence Park, Inc is a Nursing Facility/Intermediate Care Facility in Waco, Texas. Licensed in Texas. Registered with an NPI since 2005.
- Licensed in
- TX
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
300 W Highway 6Waco, TX 76712-4041
Phone: (254) 761-8500
Fax: (254) 761-8050
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence 108085 (TX) |
|---|---|
| Nursing Facility/Intermediate Care Facility | Taxonomy 313M00000X · Licence 108085 (TX) |
Record details
| NPI number | 1720086655 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Erin Shadbolt — Ceo · (314) 729-3500 |
| Other names | Ascension Living Providence Village; Ascension Living Providence Village; St. Catherine Center |
| NPI enumerated | July 13, 2005 |
| Last updated in NPPES | June 23, 2025 |
| Certification date | June 23, 2025 |
| Mailing address | 300 W Highway 6, Waco, TX 76712-4041 |
Other providers in Waco
-
Rustic Trails LLC
200 W Highway 6 Ste 509, Waco, TX 76712-7923 · (254) 399-6788