KENMAR RESIDENTIAL SERVICES NPI 1700953916

NPI Information

NPI: 1700953916
Provider Name: KENMAR RESIDENTIAL SERVICES

Doing Business As: KENMAR RESIDENTIAL SERVICES

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
3110 BUFFALO GAP RD
ABILENE, TX
ZIP 79605
Phone: (325) 691-0810
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KENMAR RESIDENTIAL SERVICES is a community based residential treatment facility, intellectual and/or developmental disabilities in Abilene, TX. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. KENMAR RESIDENTIAL SERVICES NPI is 1700953916. The provider is registered as an organization entity type.
The provider Is Doing Business As Kenmar Residential Services.

The provider's business location address is:

3110 BUFFALO GAP RD
ABILENE, TX
ZIP 79605-810
Phone: (325) 691-0810
Fax: (325) 691-1817

The provider's authorized official is William Kenneth Gray .
The authorized official title is Ceo and has the following contact phone number (512) 336-0800.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 8/10/2020.

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	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		115078	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	45G046	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

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