NPIMap

Organization Active NPI

Ridgecrest Retirement Center and Healthcare

  • Skilled Nursing Facility
  • Waco, TX
National Provider Identifier
1689697344
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5212 Issued in TX
Legal business name
RIDGECREST RETIREMENT CENTER AND HEALTHCARE
Practice address
1900 W State Highway 6
Waco, TX 76712-9729
Phone
(254) 776-9681
Fax
(254) 776-7960
NPI assigned
Jul 25, 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
Angie F Conn, RN
Title
Don
Phone
(254) 776-9681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5212 TX Primary

Addresses

Primary practice location

1900 W State Highway 6
Waco, TX 76712-9729

Mailing address

1900 W State Highway 6
Waco, TX 76712-9729
Phone (254) 776-9681

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689697344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W STATE HIGHWAY 6",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767129729",
            "telephone_number": "254-776-9681",
            "fax_number": "254-776-7960"
        },
        {
            "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",
            "fax_number": "254-776-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGECREST RETIREMENT CENTER AND HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONN",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DON",
        "authorized_official_telephone_number": "254-776-9681",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "5212",
            "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.