Kenmar Residential Services in Round Rock - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Kenmar Residential Services - NPI 1285792572
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 1285792572. 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 5126585959 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 | 5126585959 |
| 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 | 1285792572 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| 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 | 5126585959 |
| Fax Number | 5123360812 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 118543 |
|
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 |
|---|---|---|---|
| 45G402 | TX | -- |
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What is the unique 10-digit identification 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) 1285792572 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Kenmar Residential Services?
The Kenmar Residential Services is physically situated at 33 Cypress Blvd Ste 100, in the city of Round Rock, state of TX, with the postal code 786651006.
What is Kenmar Residential Services's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenmar Residential Services's area of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320900000X.
On what date did Kenmar Residential Services receive its 1285792572 assignment from the Centers for Medicare & Medicaid Services?
The Kenmar Residential Services was assigned its 1285792572 on 2006-12-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Kenmar Residential Services most recently updated or revised?
The details related to Kenmar Residential Services, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-10.