Est 400 of Waco LLC
NPI 1033554837 · Mental Health Clinic/Center (Including Community Mental Health Center) · Waco, TX
Est 400 of Waco LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Waco, TX (NPI 1033554837).
Provider details
- NPI number
- 1033554837
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ruby Santibanez, Business/Office Manager(254) 776-0400
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lake Shore Center for Behavioral Health
Registry dates
- Enumerated
- 2013-05-07
- Last updated
- 2013-05-07
Frequently asked questions
- What is Est 400 of Waco LLC's NPI number?
- Est 400 of Waco LLC's National Provider Identifier (NPI) is 1033554837, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Est 400 of Waco LLC?
- Est 400 of Waco LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Est 400 of Waco LLC located?
- Est 400 of Waco LLC's practice location on file with NPPES is 4555 Lake Shore Dr, Waco, TX 76710-1814.
- What is Est 400 of Waco LLC's phone number?
- The practice phone number listed in the NPPES registry for Est 400 of Waco LLC is (254) 776-0400.
- Who is the authorized official for Est 400 of Waco LLC?
- The authorized official listed on Est 400 of Waco LLC's NPPES record is Ruby Santibanez, Business/Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Est 400 of Waco LLC's NPI active?
- Yes — Est 400 of Waco LLC's NPI (1033554837) is active in the NPPES registry as of the last update on 2013-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.