Organization Active NPI

Kindred House LLC

  • Community/Behavioral Health Agency
  • Kannapolis, NC
National Provider Identifier
1295696946
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KINDRED HOUSE LLC
Practice address
2513 Haven St
Kannapolis, NC 28083-8808
Phone
(704) 963-9001
NPI assigned
Nov 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Kenyetta Dugan
Title
President
Phone
1

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Illness Community Based Residential Treatment Facility 320800000X

Addresses

Primary practice location

2513 Haven St
Kannapolis, NC 28083-8808

Mailing address

9611 Brookdale Dr Ste 100
Charlotte, NC 28215-8776
Phone 1

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1763683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1295696946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9611 BROOKDALE DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282158776",
            "telephone_number": "1",
            "fax_number": "1"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2513 HAVEN ST",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280838808",
            "telephone_number": "704-963-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-21",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "DUGAN",
        "authorized_official_first_name": "KENYETTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "1"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kannapolis, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.