Organization Active NPI

Kenmar Residential HCS Services Inc.

  • Developmentally Disabled Services Day Training Agency
  • Austin, TX
National Provider Identifier
1649485418
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
KENMAR RESIDENTIAL HCS SERVICES INC.
Practice address
13809 N Highway 183
Ste. 425
Austin, TX 78750-1241
Phone
(512) 336-0800
NPI assigned
May 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William Kenneth Gray, PHD
Title
President
Phone
(512) 336-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X TX Primary

Addresses

Primary practice location

13809 N Highway 183
Ste. 425
Austin, TX 78750-1241

Mailing address

13809 N Highway 183
Ste. 425
Austin, TX 78750-1241
Phone (512) 336-0800

Other identifiers 1

IdentifierTypeStateIssuer
251C000XMedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Kenmar Residential HCS Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649485418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13809 N HIGHWAY 183",
            "address_2": "STE. 425",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501241",
            "telephone_number": "512-336-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13809 N HIGHWAY 183",
            "address_2": "STE. 425",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501241",
            "telephone_number": "512-336-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENMAR RESIDENTIAL HCS SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-336-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251C000X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.