Kenmar Residential Services in Round Rock - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Kenmar Residential Services - NPI 1366510455
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 1366510455. 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 | PRESIDENT |
|---|---|
| Authorized Official Name | Gray Kenneth William |
| Telephone Number | 5123360800 |
NPI Number Detail
| NPI Number | 1366510455 |
|---|---|
| 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 | 116132 |
|
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 |
|---|---|---|---|
| 45G311 | 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) 1366510455. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
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 primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kenmar Residential Services is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy classification code that categorizes this area of expertise is 320900000X.
On what date did the Kenmar Residential Services receive its 1366510455 assignment from the Centers for Medicare & Medicaid Services?
The Kenmar Residential Services was assigned its 1366510455 by the Centers for Medicare & Medicaid Services on 2006-11-30.
When was the information regarding Kenmar Residential Services most recently updated?
The details pertaining to the Kenmar Residential Services, including its address, specialty, and other relevant information, were last refreshed on 2020-08-10.
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