Organization Active NPI

Kenny Care Assisted Living LLC

  • Assisted Living Facility
  • Garland, TX
National Provider Identifier
1669986048
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
KENNY CARE ASSISTED LIVING LLC
Practice address
1614 James Good LN
Garland, TX 75043-1123
Phone
(214) 607-8841
NPI assigned
Nov 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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

Authorized official

Name
Kenneth Insaidoo
Title
Owner/Manager
Phone
(214) 607-8841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X TX Primary

Addresses

Primary practice location

1614 James Good LN
Garland, TX 75043-1123

Mailing address

4239 McKinney Ave Apt 105
Dallas, TX 75205-4507
Phone (214) 607-8841

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1669986048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4239 MCKINNEY AVE APT 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752054507",
            "telephone_number": "214-607-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 JAMES GOOD LN",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431123",
            "telephone_number": "214-607-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNY CARE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "INSAIDOO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "214-607-8841"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.