Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Waco Healthcare Residence LLC

Organization Skilled Nursing Facility · NPI 1164081352

Waco Healthcare Residence LLC is a Skilled Nursing Facility in Waco, Texas. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1400 Lake Shore Dr
Waco, TX 76708-3718
Phone: (254) 753-0291
Fax: (254) 753-3343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1164081352
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joe Neuman — Manager · (888) 396-3462
Other names Crestview Nursing And Rehab Center
NPI enumeratedJune 11, 2019
Last updated in NPPESJune 11, 2019
Mailing address111 Clifton Ave, Lakewood, NJ 08701-3342

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