NPIMap

Organization Active NPI

Ascension Providence

Doing business as Ascension Providence Salome Inpatient Rehabilitation Center

  • Rehabilitation Hospital Unit
  • Waco, TX
National Provider Identifier
1497559140
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
ASCENSION PROVIDENCE
Doing business as
Ascension Providence Salome Inpatient Rehabilitation Center
Practice address
6901 Medical Parkway
4 East Tower
Waco, TX 76712
Phone
(254) 751-4482
NPI assigned
Apr 2, 2025
Last updated
Apr 2, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ASCENSION PROVIDENCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Philip Patterson
Title
Prsident
Phone
(254) 751-4482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

6901 Medical Parkway
4 East Tower
Waco, TX 76712

Mailing address

PO Box 2589
Waco, TX 76702-2589

Other names 1

  • ASCENSION PROVIDENCE SALOME INPATIENT REHABILITATION CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250626001456 TX Part A Provider - Hospital 7517878549 Practice locations: Waco, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497559140. Details of each certification follow.

Hospital certification: CCN 45T042

Legal name
ASCENSION PROVIDENCE
Organization structure
CorporationNon-profit
Enrollment address
6901 Medical Parkway
Waco, TX 76712-7910
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Ascension ProvidenceCCN 45T042 · All quality measures
Ownership
Non-profit
Certified
Jul 1, 2024

National Provider Directory

National Provider Directory
Tax ID family
Providence Depaul Ctr5 organizations share this tax ID, including this one
Part of
Providence Depaul Ctr

Other organizations with this tax ID 4

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

Locations

311 W Hwy 6
Ste G
Waco, TX 76710
Phone (254) 300-1941

528 Meadowlake Ctr
Waco, TX 76712
Phone (254) 399-2500

6101 Woodway Dr
Ste 120
Waco, TX 76712
Phone (254) 537-6363

6101 Woodway Dr
Ste 160
Waco, TX 76712
Phone (254) 751-4133

6600 Fish Pond Rd
Waco, TX 76710
Phone (254) 732-6789

6901 Medical Pkwy
#4E
Waco, TX 76712
Phone (254) 751-4482

6101 Woodway Dr
Ste 120130
Woodway, TX 76712
Phone (254) 537-6363

6811 Woodway Dr
Woodway, TX 76712
Phone (254) 242-0440

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
William Andy Davis Individual Corporate DirectorPresident, Ceo, Ascension Texas Nov 27, 2017
W-2 Managing EmployeePresident, Ceo, Ascension Texas Nov 27, 2017
Karen Kennards Individual Corporate Director Nov 21, 2024
Ascension Texas Organization, Austin, TX Corporation, Non-profit Operational/Managerial Control May 1, 2012
Ashley M Dickinson Individual W-2 Managing EmployeeChief Operating Officer Aug 1, 2023
Julie Holly Individual Corporate DirectorSenior Director Net Revenue Nov 5, 2016
W-2 Managing EmployeeSenior Director Net Revenue Mar 14, 2013
Philip Patterson Individual W-2 Managing EmployeePresident, Ascension Providence Feb 26, 2018
Ascension Health Organization, Saint Louis, MO Corporation, Non-profit Operational/Managerial Control Nov 1, 1999
Dave F Clarke Individual Corporate Director Jul 1, 2021

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ascension ProvidenceWaco, TX, CCN 450042 Hospital Operational/Managerial Control (100%) Aug 29, 2000

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 158

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Ascension Providence
    • General Acute Care Hospital
    • Waco, TX
    • NPI 1093708679

    Ascension Health, Ascension Texas

    CMS ownership
  • Ascension Seton

    dba Ascension Seton Highland Lakes

    • Critical Access Hospital
    • Burnet, TX
    • NPI 1003833013

    Ascension Health, Ascension Texas

    CMS ownership
  • Ascension Seton

    dba Dell Seton Medical Center at the University of Texas

    • General Acute Care Hospital
    • Austin, TX
    • NPI 1093810327

    Ascension Health, Ascension Texas

    CMS ownership
  • Ascension Seton

    dba Ascension Seton Northwest

    • General Acute Care Hospital
    • Austin, TX
    • NPI 1124137054

    Ascension Health, Ascension Texas

    CMS ownership
  • Ascension Seton

    dba Childrens Care A Van

    • Rural Health Clinic/Center
    • Lockhart, TX
    • NPI 1144325481

    Ascension Health, Ascension Texas

    CMS ownership
  • Ascension Seton

    dba Children's Care-a-Van

    • Rural Health Clinic/Center
    • Burnet, TX
    • NPI 1164445094

    Ascension Health, Ascension Texas

    CMS ownership
  • Ascension Seton

    dba Ascension Seton Medical Center Austin

    • General Acute Care Hospital
    • Austin, TX
    • NPI 1164526786

    Ascension Health

    CMS ownership
  • Ascension Seton

    dba Ascension Seton Kingsland Health Center

    • Rural Health Clinic/Center
    • Kingsland, TX
    • NPI 1205263134

    Ascension Health, Ascension Texas

    CMS ownership
  • Ascension Seton

    dba Ascension Seton Lockhart Health Center

    • Rural Health Clinic/Center
    • Lockhart, TX
    • NPI 1235234576

    Ascension Health, Ascension Texas

    CMS ownership
  • Ascension Seton

    dba Ascension Seton Highland Lakes -Swing

    • Medicare Defined Swing Bed Hospital Unit
    • Burnet, TX
    • NPI 1346263274

    Ascension Health, Ascension Texas

    CMS ownership
  • Ascension Seton

    dba Ascension Seton Dripping Springs Health Center

    • Rural Health Clinic/Center
    • Dripping Springs, TX
    • NPI 1346862752

    Ascension Health, Ascension Texas

    CMS ownership
  • Ascension Seton

    dba Ascension Seton Edgar B Davis

    • Critical Access Hospital
    • Luling, TX
    • NPI 1356446686

    Ascension Health, Ascension Texas

    CMS ownership
View all 158

Practitioners & affiliated clinicians

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1497559140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2589",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767022589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 MEDICAL PARKWAY",
            "address_2": "4 EAST TOWER",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-751-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION PROVIDENCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASCENSION PROVIDENCE",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRSIDENT",
        "authorized_official_telephone_number": "254-751-4482"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASCENSION PROVIDENCE SALOME INPATIENT REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.