Kenedy Manor Nursing Home Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

115272 Issued in TX

Legal business name

KENEDY MANOR NURSING HOME INC

Doing business as

Legacy Living Centers

Practice address

7882 S Highway 181
Drawer E
Kenedy, TX 78119

Phone

(830) 583-9101

Fax

(830) 583-2962

NPI assigned

Oct 4, 2005

Last updated

Nov 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janice Pita

Title

Insurance/Medicare

Phone

(580) 622-6300

Specialties & licenses 1

Addresses

Other names 1

• Legacy Living Centers Doing business as

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1124015268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7882 S HIGHWAY 181",
            "address_2": "DRAWER E",
            "city": "KENEDY",
            "state": "TX",
            "postal_code": "781190930",
            "telephone_number": "830-583-9101",
            "fax_number": "830-583-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7882 S HIGHWAY 181",
            "address_2": "DRAWER E",
            "city": "KENEDY",
            "state": "TX",
            "postal_code": "78119",
            "telephone_number": "830-583-9101",
            "fax_number": "830-583-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENEDY MANOR NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "PITA",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "INSURANCE/MEDICARE",
        "authorized_official_telephone_number": "580-622-6300"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "115272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Living Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karnes County Treasurer (Karnes County EMS)
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• Kenedy Independent School District
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• Sara Lyn King, RPH
• Frederick Ryan Wade Krause, M.D.
• Crista Kuhn, M.S. CCC-SLP
• Charles Kwokem

• Nursing Facility/Intermediate Care Facility in Kenedy, TX
• Providers in Kenedy, TX by specialty
• Nursing Facility/Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.