Kenmar Residential Services in Round Rock - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Kenmar Residential Services - NPI 1063589141
Kenmar Residential Services is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Round Rock, Texas. Kenmar Residential Services practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Kenmar Residential Services is 1063589141. The last update date is 2020-08-10.
Kenmar Residential Services's current location address is 33 Cypress Blvd Ste 100, Round Rock, Texas. You can contact this provider via phone number 5123360800 and fax number 5123360812. The mailing address for Kenmar Residential Services is 33 Cypress Blvd Ste 100, Round Rock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kenmar Residential Services |
|---|---|
| Address | 33 Cypress Blvd Ste 100, Round Rock, Texas |
| Phone Number | 5123360800 |
| Fax Number | 5123360812 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Gray Kenneth William |
| Telephone Number | 5123360800 |
NPI Number Detail
| NPI Number | 1063589141 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2020-08-10 |
Provider Mailing Address Detail
| Address | 33 Cypress Blvd Ste 100 |
|---|---|
| City | Round Rock |
| State | Texas (TX) |
| Post Code | 786651006 |
| Phone Number | 5123360800 |
| Fax Number | 5123360812 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 115945 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 45G348 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kenmar Residential Services by the Centers for Medicare & Medicaid Services (CMS)?
The Kenmar Residential Services has been assigned the NPI (National Provider Identifier) 1063589141. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Kenmar Residential Services located?
The Kenmar Residential Services is located at 33 Cypress Blvd Ste 100, Round Rock, TX 786651006.
What is Kenmar Residential Services's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kenmar Residential Services is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy classification code for this specialized field is 320900000X.
On what date did Kenmar Residential Services receive its 1063589141 assignment from the Centers for Medicare & Medicaid Services?
The Kenmar Residential Services was assigned its 1063589141 on 2006-11-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Kenmar Residential Services last refreshed?
The information related to the Kenmar Residential Services, including its address, specialty, and other relevant details, was last updated on 2020-08-10.