Kenmar Residential Services in Round Rock - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Kenmar Residential Services - NPI 1750459517
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 1750459517. 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 |
| Credentials | MR. |
| Telephone Number | 5123360800 |
NPI Number Detail
| NPI Number | 1750459517 |
|---|---|
| Provider Enumeration Date | 2006-12-01 |
| 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 | 118159 |
|
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 |
|---|---|---|---|
| 45G977 | TX | -- |
Post Comment/ Review Below
What is the Kenmar Residential Services's unique identification number?
The Kenmar Residential Services has been assigned the NPI (National Provider Identifier) Number 1750459517 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Kenmar Residential Services's facilities are situated?
The facilities of Kenmar Residential Services are physically located at the following address: 33 Cypress Blvd Ste 100, Round Rock, TX, 786651006.
What is Kenmar Residential Services's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kenmar Residential Services is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320900000X.
On what date did the Kenmar Residential Services receive its 1750459517 assignment from the Centers for Medicare & Medicaid Services?
The Kenmar Residential Services was assigned its 1750459517 by the Centers for Medicare & Medicaid Services on 2006-12-01.
When was the information related to Kenmar Residential Services most recently updated or refreshed?
The details pertaining to the Kenmar Residential Services, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-10.
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