NPIMap

Organization Active NPI

Methodist Children's Home

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Waco, TX
National Provider Identifier
1053432799
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
C-3052 Issued in TX
Legal business name
METHODIST CHILDREN'S HOME
Practice address
1111 Herring Ave
Waco, TX 76708-3642
Phone
(254) 750-2630
Fax
(254) 750-1358
NPI assigned
Apr 2, 2007
Last updated
Mar 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Lon Dale Oakley III
Title
President and Ceo
Phone
(254) 750-1201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X C-3052 TX Primary

Addresses

Primary practice location

1111 Herring Ave
Waco, TX 76708-3642

Mailing address

1111 Herring Ave
Waco, TX 76708-3642
Phone (254) 750-2630

National Provider Directory

National Provider Directory
Tax ID family
Methodist Children's Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1053432799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 HERRING AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083642",
            "telephone_number": "254-750-2630",
            "fax_number": "254-750-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 HERRING AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083642",
            "telephone_number": "254-750-2630",
            "fax_number": "254-750-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST CHILDREN'S HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "OAKLEY",
        "authorized_official_first_name": "LON",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "254-750-1201",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "TX",
            "license": "C-3052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.