Kinsman Enterprises, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KINSMAN ENTERPRISES, INC.

Practice address

3218 N 4TH St
Longview, TX 75705

Phone

(903) 680-2220

Fax

(903) 680-2221

NPI assigned

Nov 12, 2005

Organization subpart

Yes

Parent organization

KINSMAN ENTERPRISES, INC.As reported in NPPES

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

Addresses

Other identifiers 2

Other names 1

• Accel at Home Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Part of

Kinsman Enterprises Inc

Locations

Change-of-ownership history 1

Change of ownership 1

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

• Eh Home Health of East Texas, LLC

  • Home Health Agency
  • Longview, TX
  • NPI 1386175040

  Sold to, 2017-05-01

  CMS change of ownership

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": "009608",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "457834",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45-7834",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178570101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accel at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jerry Lee King, O.D.
• Kimberly L King
• Spencer B King
• Willia D King
• King'S Management & Leasing LLC
• Damien W Kinzler, DO
• Sheli Robin Kipp, NP
• Keith Allen Kirbow, APRN, FNP-C, PMHNP-C
• Kirby & Vaca Dentistry Partnership
• Chris L Kirby, D.D.S

• Home Health Agency in Longview, TX
• Providers in Longview, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.