Organization Active NPI

Kenan Home Care LLC

  • In Home Supportive Care Agency
  • Mobile, AL
National Provider Identifier
1548907686
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KENAN HOME CARE LLC
Practice address
5959 Montfort Rd S
Mobile, AL 36608-3555
Phone
(251) 285-0067
Fax
(251) 285-0057
NPI assigned
May 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Mrs. Delores Jean Jones
Title
Ceo/Owner
Phone
(251) 285-0067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5959 Montfort Rd S
Mobile, AL 36608-3555

Mailing address

4358 Old Shell Rd Ste B-195
Mobile, AL 36608-2050
Phone (251) 285-0067

National Provider Directory

National Provider Directory

Locations

4358 Old Shell Rd
Ste B195
Mobile, AL 36608

721 Oak Circle Dr E
#A
Mobile, AL 36609

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1548907686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4358 OLD SHELL RD STE B-195",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366082050",
            "telephone_number": "251-285-0067",
            "fax_number": "256-886-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 MONTFORT RD S",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083555",
            "telephone_number": "251-285-0067",
            "fax_number": "251-285-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENAN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DELORES",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "251-285-0067",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.