NPIMap

Organization Active NPI

Kenmar Residential HCS Services Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Round Rock, TX
National Provider Identifier
1104030436
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
001007619 Issued in TX
Legal business name
KENMAR RESIDENTIAL HCS SERVICES INC.
Practice address
555 Round Rock West Dr # F-360
Round Rock, TX 78681-5052
Phone
(512) 334-9192
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amanda Peakes-Taylor
Title
President
Phone
(713) 927-9920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 001007619 TX Primary

Addresses

Primary practice location

555 Round Rock West Dr # F-360
Round Rock, TX 78681-5052

Mailing address

555 Round Rock West Dr # F-360
Round Rock, TX 78681-5052
Phone (512) 334-9192

Other names 1

  • Kenmar Residential HCS Services Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kenmar Residential HCS Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

555 Round Rock West Dr
#F360
Round Rock, TX 78681
Phone (512) 334-9192

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1104030436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 ROUND ROCK WEST DR # F-360",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815052",
            "telephone_number": "512-334-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 ROUND ROCK WEST DR # F-360",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815052",
            "telephone_number": "512-334-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENMAR RESIDENTIAL HCS SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "PEAKES-TAYLOR",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-927-9920"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "001007619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenmar Residential HCS Services Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kenmar Residential HCS Services Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.