Kenmar Residential Services in Round Rock - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Kenmar Residential Services - NPI 1720155880
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 1720155880. 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 |
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Address | 33 Cypress Blvd Ste 100, Round Rock, Texas |
Phone Number | 5123360800 |
Fax Number | 5123360812 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
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Authorized Official Name | Gray Kenneth William |
Telephone Number | 5123360800 |
NPI Number Detail
NPI Number | 1720155880 |
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Provider Enumeration Date | 2006-11-30 |
Last Updated Date | 2020-08-10 |
Provider Mailing Address Detail
Address | 33 Cypress Blvd Ste 100 |
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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 |
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Taxonomy | 320900000X |
Licence No | 118664 |
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 |
---|---|---|---|
45G519 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kenmar Residential Services by the Centers for Medicare & Medicaid Services?
The Kenmar Residential Services has been assigned the NPI (National Provider Identifier) 1720155880 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Kenmar Residential Services is physically located?
The Kenmar Residential Services is situated at the following address: 33 Cypress Blvd Ste 100, Round Rock, TX 786651006.
What is Kenmar Residential Services's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kenmar Residential Services is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 320900000X.
On what date did Kenmar Residential Services receive its 1720155880 assignment from the Centers for Medicare & Medicaid Services?
The Kenmar Residential Services was assigned its 1720155880 on 2006-11-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kenmar Residential Services, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kenmar Residential Services, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-10.