Organization Active NPI

Kendell Kare Group

  • Adult Care Home Facility
  • Decatur, GA
National Provider Identifier
1851622724
Registry record updated Jan 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
17053233341048 Issued in GA
Legal business name
KENDELL KARE GROUP
Practice address
3458 Jessica Run
Decatur, GA 30034-6718
Phone
(404) 434-2875
NPI assigned
Jan 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2010

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

Authorized official

Name
Mr. Darius K Radford I
Title
Chairman of Board
Phone
(404) 434-2875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 17053233341048 GA Primary

Addresses

Primary practice location

3458 Jessica Run
Decatur, GA 30034-6718

Mailing address

3458 Jessica Run
Decatur, GA 30034-6718

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263600000000",
    "number": "1851622724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3458 JESSICA RUN",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300346718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3458 JESSICA RUN",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300346718",
            "telephone_number": "404-434-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDELL KARE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-16",
        "last_updated": "2010-01-16",
        "status": "A",
        "authorized_official_last_name": "RADFORD",
        "authorized_official_first_name": "DARIUS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHAIRMAN OF BOARD",
        "authorized_official_telephone_number": "404-434-2875",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "GA",
            "license": "17053233341048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2010; 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.