The Retreat at Kenwood Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE RETREAT AT KENWOOD INC

Practice address

210 N Kenwood Rd
Texarkana, TX 75501-2928

Phone

(903) 336-6134

Fax

(903) 336-6135

NPI assigned

May 5, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Rickey W Riebesell

Title

President/Administrator

Phone

(903) 336-6134

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440720000000",
    "number": "1750791356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N KENWOOD RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755012928",
            "telephone_number": "903-336-6134",
            "fax_number": "903-336-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N KENWOOD RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755012928",
            "telephone_number": "903-336-6134",
            "fax_number": "903-336-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RETREAT AT KENWOOD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2015-08-28",
        "status": "A",
        "authorized_official_last_name": "RIEBESELL",
        "authorized_official_first_name": "RICKEY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "903-336-6134",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Texarkana, TX
• Providers in Texarkana, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.