Active NPI
Senior Star Tenant Kenwood, LLC
- Assisted Living Facility
- Cincinnati, OH
National Provider Identifier
1124816665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLaboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2006501 | Kenwood by Senior Star, the | Certificate of waiver | Apr 21, 2028 |
| 36D2198451 | Kenwood by Senior Star, the | Certificate of waiver | Nov 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.