Active NPI
Kindred House LLC
- Community/Behavioral Health Agency
- Kannapolis, NC
National Provider Identifier
1295696946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.