Kenmar Residential Services in Denton - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Kenmar Residential Services - NPI 1699842831
Kenmar Residential Services is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Denton, 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 1699842831. The last update date is 2020-08-10.
Kenmar Residential Services's current location address is 2402 Bernard St, Denton, Texas. You can contact this provider via phone number 9405664961 and fax number 9405662371. The mailing address for Kenmar Residential Services is 2402 Bernard St, Denton, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kenmar Residential Services |
|---|---|
| Address | 2402 Bernard St, Denton, Texas |
| Phone Number | 9405664961 |
| Fax Number | 9405662371 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Gray Kenneth William |
| Telephone Number | 5123360800 |
NPI Number Detail
| NPI Number | 1699842831 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2020-08-10 |
Provider Mailing Address Detail
| Address | 2402 Bernard St |
|---|---|
| City | Denton |
| State | Texas (TX) |
| Post Code | 762055848 |
| Phone Number | 9405664961 |
| Fax Number | 9405662371 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 1150664 |
|
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 |
|---|---|---|---|
| 45H195 | TX | -- |
Post Comment/ Review Below
What is the Kenmar Residential Services's 1699842831?
The Kenmar Residential Services's NPI (National Provider Identifier) Number is 1699842831. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kenmar Residential Services located?
The Kenmar Residential Services is located at 2402 Bernard St, Denton, TX 762055848.
What is Kenmar Residential Services's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kenmar Residential Services's specialized field of practice is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320900000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1699842831 to Kenmar Residential Services?
The Centers for Medicare & Medicaid Services originally issued the 1699842831 to Kenmar Residential Services on 2006-11-30.
As of what date was the information pertaining to Kenmar Residential Services, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kenmar Residential Services, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-10.