Kenzi Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KENZI CARE LLC

Practice address

668 Wood Rd
Taylorsville, NC 28681

Phone

(828) 635-8351

Fax

(828) 635-8353

NPI assigned

Apr 25, 2019

Organization subpart

Yes

Parent organization

KENZI CARE LLCAs reported in NPPES

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

Authorized official

Name

Ms. Teresa MatosNPI 1508285081

Title

Owner/Administrator

Phone

(336) 508-2675

Specialties & licenses 1

Addresses

Other names 1

• Kenzi Care Assisted Living Doing business as

Part of

Kenzi Care LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresa Matos

  • Personal Care Attendant
  • Walkertown, NC
  • NPI 1508285081
  NPD (past) Authorized official

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1679137665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 CELESTE RD",
            "city": "WALKERTOWN",
            "state": "NC",
            "postal_code": "27051",
            "telephone_number": "336-508-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 WOOD RD",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "28681",
            "telephone_number": "828-635-8351",
            "fax_number": "828-635-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENZI CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENZI CARE LLC",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "MATOS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "336-508-2675",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenzi Care Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Stewart Jordan, LPC-A
• Tracy W Jordan, L.P.T.
• K.R.Ram-Z II LLC
• Jamal Kalala, M.D.
• Jeffrey A Katz, P.A.
• Amy Ann Kinlaw, DMD
• Kirby Chiropractic
• Kanzis Malon Lackey
• Stanly Lee, PHARMD
• Nichole Bentley Lemley, FNP-C

• Assisted Living Facility in Taylorsville, NC
• Providers in Taylorsville, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.