Organization · Type 2 NPI

Kenmar Residential HCS Services Inc.

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Round Rock, TX

NPI number 1104030436 Active

Practice location

555 Round Rock West Dr # F-360
Round Rock, TX 78681-5052

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	001007619 (TX)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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NPI record

NPI: 1104030436
Entity type: Organization (Type 2)
Issued: May 9, 2007
Last updated: Oct 24, 2019
Status: Active

Other names

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Kenmar Residential HCS Services Inc. · doing business as
Kenmar Residential HCS Services Inc. · doing business as

Authorized official

Amanda Peakes-Taylor
President
(713) 927-9920

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About NPI 1104030436

Kenmar Residential HCS Services Inc.'s National Provider Identifier is 1104030436, issued on May 9, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Round Rock, TX. The record was last updated on Oct 24, 2019.