Kenmar Residential Services in Denton - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Kenmar Residential Services - NPI 1912075318

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 1912075318. The last update date is 2020-08-10.

Kenmar Residential Services's current location address is 1426 N Ruddell St, Denton, Texas. You can contact this provider via phone number 9405664961 and fax number 9405662371. The mailing address for Kenmar Residential Services is 1426 N Ruddell St, Denton, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kenmar Residential Services
Address 1426 N Ruddell 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 1912075318
Provider Enumeration Date 2006-12-01
Last Updated Date 2020-08-10

Provider Mailing Address Detail

Address 1426 N Ruddell St
City Denton
State Texas (TX)
Post Code 762093336
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 115066
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
45H242 TX --

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FAQs about Kenmar Residential Services

What is the unique 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) 1912075318. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Kenmar Residential Services?

The Kenmar Residential Services is physically situated at 1426 N Ruddell St, in the city of Denton, state of TX, with the postal code 762093336.

What is Kenmar Residential Services's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kenmar Residential Services is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy classification code for this specialized field is 320900000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1912075318 to Kenmar Residential Services?

The Kenmar Residential Services received its 1912075318 assignment from the Centers for Medicare & Medicaid Services on 2006-12-01.

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.

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