Organization · Type 2 NPI

Kenmar Residential Services, Incorporated

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

NPI number 1417024548 Active

Practice location

1609 Mallard Ln
Taylor, TX 76574-5026

Call (512) 336-0800 Map

Fax (512) 336-0812

Mailing address

33 Cypress Blvd Ste 100
Round Rock, TX 78665-1006

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	117374 (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: 1417024548
Entity type: Organization (Type 2)
Issued: Nov 30, 2006
Last updated: Dec 3, 2025
Status: Active

Other names

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Kenmar Residential Services · doing business as
Kenmar Residential Services · doing business as

Authorized official

Amanda Peakes-Taylor
Executive Vice President
(713) 927-9920

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1417024548

Kenmar Residential Services, Incorporated's National Provider Identifier is 1417024548, issued on Nov 30, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Taylor, TX. The record was last updated on Dec 3, 2025.