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Pecan Ridge Living Center Ltd

NPI 1891786638ActiveOrganization· Intermediate Care Facility, Mental Illness· Waco, TX

Intermediate Care Facility, Mental Illness in Waco, Texas, registered in NPPES in November 2005, part of Surrey Holdings, Inc. The authorized official on file is Mike Hawker, Cfo.

Overview

NPI1891786638
StatusActive
Entity typeOrganization (subpart)
Parent organizationSurrey Holdings, Inc
NPI issuedNov 1, 2005
Last updated in NPPESJun 17, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Intermediate Care Facility, Mental Illness Primary310500000X003799TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years