Kennener and Jenkins Community Services, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

125528 Issued in TX

Legal business name

KENNENER AND JENKINS COMMUNITY SERVICES, INC.

Practice address

1909 West Loop
El Campo, TX 77437-8014

Phone

(979) 543-4186

NPI assigned

Apr 27, 2011

Organization subpart

No

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

Authorized official

Name

Everet E. Kennener IV

Title

Owner

Phone

(979) 297-7971

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1366733180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 WEST LOOP",
            "city": "EL CAMPO",
            "state": "TX",
            "postal_code": "77437",
            "telephone_number": "979-543-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 WEST LOOP",
            "city": "EL CAMPO",
            "state": "TX",
            "postal_code": "774378014",
            "telephone_number": "979-543-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNENER AND JENKINS COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "KENNENER",
        "authorized_official_first_name": "EVERET",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-297-7971",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": "125528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DADS",
            "identifier": "126366",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christian Gustavo Juarez, OD
• Melissa Ann Kainer Erwin, M.D.
• Hasan Ali Kakli, MD
• Heather Schmidt Kana, AGPCNP
• Mohamed Kaplan, DMD
• Kevin Saiz
• Shayan Ali Khan
• Shelby Kindrick, ATC, LAT
• Leslie Korenek
• Ashley Koudela, PA-C

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in El Campo, TX
• Providers in El Campo, TX by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.