Kennie Health Services LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KENNIE HEALTH SERVICES LLC

Practice address

11285 Baltimore St NE Unit C
Blaine, MN 55449-4686

Phone

(240) 277-8289

NPI assigned

Jun 24, 2025

Organization subpart

No

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

Authorized official

Name

Martina Dann

Title

Program Director

Phone

(240) 277-8289

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1730077421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11285 BALTIMORE ST NE UNIT C",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494686",
            "telephone_number": "240-277-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11285 BALTIMORE ST NE UNIT C",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494686",
            "telephone_number": "240-277-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNIE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "DANN",
        "authorized_official_first_name": "MARTINA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "240-277-8289"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Blaine, MN
• Providers in Blaine, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.