Kept Cecrets LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

KEPT CECRETS LLC

Practice address

934 Judson Ave Apt 2W
Evanston, IL 60202-1864

Phone

(773) 606-6988

NPI assigned

Jun 5, 2024

Organization subpart

No

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

Authorized official

Name

Kendra Michelle Boyd

Title

Ceo

Phone

(773) 606-6988

Specialties & licenses 6

Addresses

Other names 2

• Kept Cecrets Sober Living Doing business as
• Kept Cecrets non for profit Former legal business name

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1699516310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 JUDSON AVE APT 2W",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021864",
            "telephone_number": "773-606-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 JUDSON AVE APT 2W",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021864",
            "telephone_number": "773-606-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEPT CECRETS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-606-6988"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kept Cecrets Sober Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kept Cecrets non for profit",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Thomas K. Kenemore, PH.D., LCSW
• Katelyn A Kennon, LSW
• Caitlin Kenny
• John Patrick Kenny IV, M.D.
• Vicki Keough, PHD, CNP
• Dawn D. Kerchberger, APN-CRNA
• Mina Kerolos, MD
• Kerstin Alischoewski MD SC
• Ajit Kumar Kesani, M.D.
• Kevin Crystal Counseling P.C.

• Adult Day Care Clinic/Center in Evanston, IL
• Providers in Evanston, IL by specialty
• Adult Day Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.