Providence Park, Inc.

  • 1720086655 NPI Number
  • |
  • Actived: 18 years ago
  • |
Providence Park, Inc. is a health care provider based in Waco, TX. The NPI Number is 1720086655 and it has been active since 18 years ago. The specialty is Nursing Facility/Intermediate Care Facility, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Nursing Facility/Intermediate Care Facility services, Providence Park, Inc. is an excellent option. We are here to help you get the care you need.

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Overview of Providence Park, Inc.

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 07/13/2005
  • Last updated: 01/28/2016

Primary Scrop of Practice

  • Taxonomy Code: 313M00000X
  • Specialty: Nursing Facility/Intermediate Care Facility
  • License Number: 108085
  • License State: TX

Provider Mailing Address

  • Address: 300 W Highway 6
    Waco, TX 76712
  • Phone: 254-761-8500
  • Fax: 254-761-8050

Provider Practice Location

  • Address: 300 W Highway 6
    Waco, TX 76712
  • Phone: 254-761-8500
  • Fax: 254-761-8050

Authorized Official

  • Name: Amanda L Sonnier LNFA
  • Position/Title: Administrator
  • Telephone Number: 254-761-8500

Scope of Practice

  • Taxonomy Code: 313M00000X
  • Specialty: Nursing Facility/Intermediate Care Facility
  • License Number: 108085
  • License State: TX
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 000530801
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: TX
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Providence Park, Inc.?
  • A: The npi number for Providence Park, Inc. is 1720086655.
  • Q: What are Providence Park, Inc.'s specialties?
  • A: Providence Park, Inc.'s specialties are Nursing Facility/Intermediate Care Facility and different specialities.
  • Q: Where is Providence Park, Inc. business practice location?
  • A: Providence Park, Inc. business practice location is 300 W Highway 6, Waco, TX 76712.
  • Q: How to contact Providence Park, Inc.?
  • A: You can contact Providence Park, Inc. via 254-761-8500.
  • Q: What is the authorized official for Providence Park, Inc.?
  • A: The authorized office name is Amanda L Sonnier LNFA with position/title is Administrator and you can reach the authorized official via phone number 2547618500.
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