Active NPI
James-Leach, Inc.
Doing business as Kenmar Residential Services
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- La Grange, TX
National Provider Identifier
1932268554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 118153
- Legal business name
- JAMES-LEACH, INC.
- Doing business as
- Kenmar Residential Services
Shady Lane Community Residence - Practice address
- 542 E Pecan St
La Grange, TX 78945-2822 - Phone
- (979) 968-8820
- Fax
- (979) 968-6598
- NPI assigned
- Dec 8, 2006
- Last updated
- Dec 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William K Gray II
- Title
- President
- Phone
- (979) 968-8820
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 118153 | TX | Primary |
Addresses
Primary practice location
542 E Pecan St
La Grange, TX 78945-2822
Mailing address
2004 S US Highway 77
La Grange, TX 78945-6127
Phone (979) 968-8820
Other names 2
- Kenmar Residential Services
- SHADY LANE COMMUNITY RESIDENCE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1932268554. Details of each certification follow.
Intermediate care facility for individuals with intellectual disabilities certification: CCN 45G398
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- SHADY LANE COMMUNITY RESIDENCE
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Jul 2, 1990
- Last certification
- Jan 24, 2025
- Beds
- 6
- Ownership / control type
- Private (non-profit)
- Most recent change of ownership
- Mar 15, 2012
- Facility address
- 542 East Pecan Street
La Grange, TX 78945
National Provider Directory
National Provider Directory- Tax ID family
- James-Leach Inc
Other organizations with this tax ID 10
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Smiley Community Residence
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Smiley, TX
- NPI 1053489625
-
dba Hirsch Schwartz Community Residence
- Intellectual Disabilities Intermediate Care Facility
- Schulenburg, TX
- NPI 1265018444
-
dba Kenmar Residential Services
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- La Grange, TX
- NPI 1568539682
-
dba Country Club House
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- La Grange, TX
- NPI 1598808743
-
dba Meadow Lane Community Residence
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- La Grange, TX
- NPI 1699319012
-
dba Kenmar Residential Services
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- La Grange, TX
- NPI 1801964226
-
dba Felice Schwartz Community Residence
- Intellectual Disabilities Intermediate Care Facility
- Schulenburg, TX
- NPI 1881289429
-
dba Kenmar Residential Services
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Smithville, TX
- NPI 1992873087
-
dba Gonzales County Community Residence
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Smiley, TX
- NPI 1114095957
-
dba Weimar Community Residence
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Weimar, TX
- NPI 1366510455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764892800000",
"number": "1932268554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 S US HIGHWAY 77",
"city": "LA GRANGE",
"state": "TX",
"postal_code": "789456127",
"telephone_number": "979-968-8820",
"fax_number": "979-968-6598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "542 E PECAN ST",
"city": "LA GRANGE",
"state": "TX",
"postal_code": "789452822",
"telephone_number": "979-968-8820",
"fax_number": "979-968-6598"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES-LEACH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-08",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A",
"authorized_official_last_name": "GRAY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "979-968-8820",
"authorized_official_name_suffix": "II"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "TX",
"license": "118153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kenmar Residential Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SHADY LANE COMMUNITY RESIDENCE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in La Grange, TX
- Shandell Marie Jakobeit, HIS, COHC
- James-Leach, Inc. (Kenmar Residential Services)
- James-Leach, Inc. (Country Club House)
- James-Leach, Inc. (Meadow Lane Community Residence)
- James-Leach, Inc. (Kenmar Residential Services)
- Chelsea L Jecmenek, PA
- Jennifer L Sharp-Saunders MD PA
- Russell Joseph Juno III, M.D.
- Shannon M Juno, M.D.
- Kaks Healthcare, LLC (Pharm House Drug - La Grange, LLC.)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.