Organization Active NPI

Senior Star Tenant Kenwood, LLC

  • Assisted Living Facility
  • Cincinnati, OH
National Provider Identifier
1124816665
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SENIOR STAR TENANT KENWOOD, LLC
Practice address
5435 Kenwood Rd
Cincinnati, OH 45227-1328
Phone
(513) 561-9300
NPI assigned
Apr 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Shadoworee Betts
Title
Chief Operating Officer
Phone
(918) 592-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5435 Kenwood Rd
Cincinnati, OH 45227-1328

Mailing address

1516 S Boston Ave Ste 301
Tulsa, OK 74119-4019
Phone (918) 592-4400

Other names 1

  • Kenwood by Senior Star Doing business as

National Provider Directory

National Provider Directory

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2006501Kenwood by Senior Star, the5435 Kenwood Road, Cincinnati, OH 45227Certificate of waiverApr 21, 2028
36D2198451Kenwood by Senior Star, the5435 Kenwood Rd, Cincinnati, OH 45227Certificate of waiverNov 1, 2026

NPI Registry JSON

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1124816665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 S BOSTON AVE STE 301",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741194019",
            "telephone_number": "918-592-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 KENWOOD RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271328",
            "telephone_number": "513-561-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR STAR TENANT KENWOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "BETTS",
        "authorized_official_first_name": "SHADOWOREE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "918-592-4400"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenwood by Senior Star",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.