Kenny's Personal Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KENNY'S PERSONAL CARE HOME

Practice address

4043 Big Valley TRL
Stone Mountain, GA 30083-5711

Phone

(770) 676-0766

Fax

(770) 676-0766

NPI assigned

Mar 24, 2021

Last updated

Mar 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenyon Lindsey, CEO, COUNSELORNPI 1760068944

Title

Ceo

Phone

(770) 899-2849

Specialties & licenses 5

Addresses

Other names 1

• Kenny's Personal Care Home Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenyon Lindsey, LPC

  • Counselor
  • Stone Mountain, GA
  • NPI 1760068944
  NPD Authorized official

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1700462199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4043 BIG VALLEY TRL",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300835711",
            "telephone_number": "770-676-0766",
            "fax_number": "770-676-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4043 BIG VALLEY TRL",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300835711",
            "telephone_number": "770-676-0766",
            "fax_number": "770-676-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNY'S PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "LINDSEY",
        "authorized_official_first_name": "KENYON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-899-2849",
        "authorized_official_credential": "CEO, COUNSELOR"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenny's Personal Care Home",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Keep Moving at Home LLC
• Keeping People First Medical
• Ahna Symone Kelley, DDS
• Donna Kristina Kemp, MED, NCC, LPC
• Bradford Jamal Kennebrew, PTA
• Danielle Kershner, DPT
• Jeanette Kessler, DMD
• Ketara Wellness Center LLC (Ketara Wellness Center)
• Khurram A Khan, M.D.
• Tuan Minh Khong, SA-C

• Assisted Living Facility in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.