Organization Active NPI

Kelencare Inc

  • Home Health Agency
  • Bedford, TX
National Provider Identifier
1174805196
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KELENCARE INC
Practice address
932 Simpson Ter
Apt. 143
Bedford, TX 76021-1932
Phone
(817) 656-5754
NPI assigned
Sep 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Authorized official

Name
Mr. Kennedy M Kebaso, RN
Title
Administrator
Phone
(817) 656-5754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X TX Primary

Addresses

Primary practice location

932 Simpson Ter
Apt. 143
Bedford, TX 76021-1932

Mailing address

932 Simpson Ter
Apt. 143
Bedford, TX 76021-1932
Phone (817) 656-5754

Other names 1

  • BEDFORD HOME HEALTH SERVICES Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1174805196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 SIMPSON TER",
            "address_2": "APT. 143",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760211932",
            "telephone_number": "817-656-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 SIMPSON TER",
            "address_2": "APT. 143",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760211932",
            "telephone_number": "817-656-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELENCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "KEBASO",
        "authorized_official_first_name": "KENNEDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-656-5754",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEDFORD HOME HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.