NPI age
20 years
Enumerated 2005-11-01
● Active Type 2 · Organization
Subpart
Pecan Ridge Living Center Ltd
Pecan Ridge Living Center Ltd is 1 of 51 intermediate care facility, mental illness organizations in Texas.
Primary specialty
Intermediate Care Facility, Mental Illness
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hawker
Cfo
Last NPPES update
2008-06-17
Source: monthly bulk 2026-05
How this organization compares
Across 51 active intermediate care facility, mental illness providers in Texas.
NPI age
20 years
≈ at median (20 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-11Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
1916 Seley Ave
Waco, TX 767042057
Mailing address
845 Proton Rd
San Antonio, TX 782584203
Authorized official
Mike Hawker
Cfo
📞 2103407155
Specialties
-
Intermediate Care Facility, Mental Illness PrimaryA nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 001012117 |
Practice context
Single-site organization. Only one practice location on file.
Subpart of Surrey Holdings, Inc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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