Kenmar Residential Services in Round Rock - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Kenmar Residential Services - NPI 1932268554
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 1932268554. 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 |
| Telephone Number | 5123360800 |
NPI Number Detail
| NPI Number | 1932268554 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| 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 | 118153 |
|
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 |
|---|---|---|---|
| 45G398 | 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 1932268554 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Kenmar Residential Services's physical address?
The Kenmar Residential Services is physically located at 33 Cypress Blvd Ste 100, in the city of Round Rock, TX, with the postal code 786651006.
What is the Kenmar Residential Services's specialty and taxonomy code?
The Kenmar Residential Services's specialty is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320900000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1932268554 to Kenmar Residential Services?
The Centers for Medicare & Medicaid Services assigned the 1932268554 to Kenmar Residential Services on 2006-12-08.
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.
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