Organization · Type 2 NPI

James-Leach, Inc.

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

NPI number 1932268554 Active

Practice location

542 E Pecan St
La Grange, TX 78945-2822

Call (979) 968-8820 Map

Fax (979) 968-6598

Mailing address

2004 S US Highway 77
La Grange, TX 78945-6127

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	118153 (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: 1932268554
Entity type: Organization (Type 2)
Issued: Dec 8, 2006
Last updated: Dec 5, 2025
Status: Active

Other names

<unavail>
Kenmar Residential Services · doing business as
Shady Lane Community Residence · doing business as

Authorized official

William K Gray
President
(979) 968-8820

Verify this record

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 1932268554

James-Leach, Inc.'s National Provider Identifier is 1932268554, issued on Dec 8, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in La Grange, TX. The record was last updated on Dec 5, 2025.