NPIMap

Organization Active NPI

Ridgecrest Retirement Center, LTD

  • Assisted Living Facility
  • Waco, TX
National Provider Identifier
1528082864
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
10995 Issued in TX
Legal business name
RIDGECREST RETIREMENT CENTER, LTD
Practice address
1900 W State Highway 6
Waco, TX 76712-9729
Phone
(254) 776-9681
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mike Hawker
Title
Cfo
Phone
(210) 340-7155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 10995 TX Primary

Addresses

Primary practice location

1900 W State Highway 6
Waco, TX 76712-9729

Mailing address

845 Proton Rd
San Antonio, TX 78258-4203
Phone (210) 340-7155

National Provider Directory

National Provider Directory
Tax ID family
Ridgecrest Retirement Center LTD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

845 Proton Rd
San Antonio, TX 78258

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528082864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 PROTON RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584203",
            "telephone_number": "210-340-7155",
            "fax_number": "210-340-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W STATE HIGHWAY 6",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767129729",
            "telephone_number": "254-776-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGECREST RETIREMENT CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAWKER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "210-340-7155"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "10995",
            "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 Aug 22, 2020; 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.