KENNETH WESLEY HART NPI 1154353084

NPI Information

NPI: 1154353084
Provider Name: KENNETH WESLEY HART
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Individual

Specialization: Adult Care Home

Address:
1742 SAYLES BLVD
ABILENE, TX
ZIP 79605
Phone: (325) 665-6736
Get Directions

Kenneth Wesley Hart is an adult care home custodial care facility in Abilene, TX. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. Kenneth Wesley Hart NPI is 1154353084. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1742 SAYLES BLVD
ABILENE, TX
ZIP 79605-032
Phone: (325) 665-6736
Fax: (325) 701-4044

The enumeration date for this NPI number is 7/7/2006 and was last updated on 3/4/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	311ZA0620X	Custodial Care Facility	Adult Care Home	147670	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	001013257	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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