Organization Active NPI

Kinsman Enterprises, Inc.

Doing business as Accel at Home

  • Home Health Agency
  • Longview, TX
National Provider Identifier
1821079187
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KINSMAN ENTERPRISES, INC.
Doing business as
Accel at Home
Practice address
3218 N 4TH St
Longview, TX 75705
Phone
(903) 680-2220
Fax
(903) 680-2221
NPI assigned
Nov 12, 2005
Last updated
Jul 20, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
KINSMAN ENTERPRISES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Authorized official

Name
Mrs. Lynn C Keller, MSN, RN
Title
Ceo
Phone
(214) 327-1700

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 457834 TX
Home Health Agency 251E00000X 009608 TX
Home Health Agency 251E00000X TX Primary

Addresses

Primary practice location

3218 N 4TH St
Longview, TX 75705

Mailing address

3218 N 4TH St
Longview, TX 75705
Phone (903) 680-2220

Other identifiers 2

IdentifierTypeStateIssuer
178570101MedicaidTX
45-7834MedicaidTX

Other names 1

  • Accel at Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Part of
Kinsman Enterprises Inc

Locations

100 Buffalo St
Gilmer, TX 75644
Phone (903) 680-2220

102 Buffalo St
Gilmer, TX 75644
Phone (903) 680-2220

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
May 1, 2017 Change of OwnershipThis provider was the seller Enhabit Home HealthCCN 457834, TX, NPI 1386175040

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1131753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1821079187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75705",
            "telephone_number": "903-680-2220",
            "fax_number": "903-680-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75705",
            "telephone_number": "903-680-2220",
            "fax_number": "903-680-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINSMAN ENTERPRISES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KINSMAN ENTERPRISES, INC.",
        "enumeration_date": "2005-11-12",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-327-1700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "457834",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009608",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178570101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45-7834",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accel at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.