NPIMap

Organization Active NPI

Loren Kenney

  • Custodial Care Facility
  • Wading River, NY
National Provider Identifier
1215460787
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
655123 Issued in NY
Legal business name
LOREN KENNEY
Practice address
464 Remsen Rd
Wading River, NY 11792-1747
Phone
(334) 803-6001
NPI assigned
Apr 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Authorized official

Name
Loren Kenney, BSNNPI 1184145179
Title
RN
Phone
(334) 803-6001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 655123 NY Primary

Addresses

Primary practice location

464 Remsen Rd
Wading River, NY 11792-1747

Mailing address

464 Remsen Rd
Wading River, NY 11792-1747
Phone (334) 803-6001

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1215460787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 REMSEN RD",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117921747",
            "telephone_number": "334-803-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 REMSEN RD",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117921747",
            "telephone_number": "334-803-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOREN KENNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "KENNEY",
        "authorized_official_first_name": "LOREN",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "334-803-6001",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NY",
            "license": "655123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wading River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.