THE RETREAT AT KENWOOD INC (NPI# 1750791356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750791356 |
| Entity Type | Organization |
| Organization Name | THE RETREAT AT KENWOOD INC |
| Practice Address |
210 N Kenwood Rd Texarkana TX 75501-2928 |
| Practice Telephone | 9033366134 |
| Practice Fax Number | 9033366135 |
| Mailing Telephone | 9033366134 |
| Mailing Fax Number | 9033366135 |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2015-08-28 |
| Authorized Official Name | MR. RICKEY W RIEBESELL (PRESIDENT/ADMINISTRATOR) |
| Authorized Official Telephone | 9033366134 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
210 N KENWOOD RD |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75501-2928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235664533 | Retreat Health Care Services Inc. | Home Health | 210 N Kenwood Rd, Texarkana, TX 75501-2928 | 2017-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598227951 | Shayla Lasonde Williams | Licensed Vocational Nurse | 409 Tracey Ave, Wake Village, TX 75501 | 2019-04-04 |
| 1861900904 | Tiffany Anne Baugus | Nurse Practitioner | 2600 St. Michael Drive, Texarkana, TX 75501 | 2018-01-10 |
| 1104363258 | Brent Willis | Nurse Anesthetist, Certified Registered | 203 La Grange Dr., Texarkana, TX 75501 | 2017-01-27 |
| 1154627644 | Patricia Maree Baker | Counselor | 1001 Texas Blvd., Suite 106, Texarkana, TX 75501 | 2011-02-01 |
| 1730323452 | William Leonard | Occupational Therapy Assistant | 2108 5th Street, Bridgeport, TX 75501 | 2009-04-24 |
| 1700071552 | Roger House Md, Psychiatric Services | Case Management | 2401 Summerhill Rd., Suite A, Texarkana, TX 75501 | 2007-09-13 |
| 1134248271 | Brent Bultemeier Pa | Chiropractor | 3207 New Boston Road, Texarkana, TX 75501 | 2007-03-28 |
| 1346395977 | Sharon E. Moore | Registered Nurse | Youree Drive, Shreveport, LA 75501 | 2007-01-24 |
| 1962553024 | Leary Independent School District | Local Education Agency (LEA) | 9500 W. New Boston Rd, Texarkana, TX 75501 | 2007-01-16 |
| 1780787390 | Christina Michelle Griffin | Physical Therapist | 1315 Walnut, Temple Memorial Rehabiliation Ctr, Texarkana, TX 75501 | 2006-09-07 |
| Find all providers in zip 75501 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316370109 | Windsor Cottage Ltd | Assisted Living Facility | 4110 Jefferson Ave, Texarkana, AR 71854-1512 | 2013-08-15 |
| 1649557604 | Olmm Properties, LLC. | Assisted Living Facility | 4205 Richmond Mdws, Texarkana, TX 75503-0103 | 2011-11-04 |
| 1487710679 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 4204 Moores Ln, Texarkana, TX 75503-2198 | 2006-12-29 |
| 1356407944 | Mshc The Oaks Assisted Living LLC | Assisted Living Facility | 4317 Mcknight Rd, Texarkana, TX 75503-0929 | 2006-12-28 |
| 1396800389 | Mshc Colonial Lodge LLC | Assisted Living Facility | 5001 Elizabeth St, Texarkana, TX 75503-2913 | 2006-12-27 |
| 1760547764 | Mshc Whispering Pines LLC | Assisted Living Facility | 5002 Elizabeth St, Texarkana, TX 75503-2914 | 2006-12-27 |
| 1598371023 | Mshc Magnolia At The Oaks | Assisted Living Facility | 4205 Richmond Mdws, Texarkana, TX 75503-0103 | 2020-09-21 |
| 1417015322 | Independent Living of Texarkana, LLC | Assisted Living Facility | 3120 Smith St, Texarkana, TX 75501-4083 | 2006-12-04 |
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|---|---|---|---|---|
| 1912507690 | Bolville LLC | Assisted Living Facility | 9898 Bissonnet St Ste 419, Houston, TX 77036-8025 | 2020-10-30 |
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| 1003415712 | Valarie C Williams | Assisted Living Facility | 2019 Greenwest Dr, Missouri City, TX 77489-4043 | 2020-10-23 |
| 1902404791 | Heritage Retreat Management Group, Inc. | Assisted Living Facility | 7105 Hot Creek Trce, Humble, TX 77346-3098 | 2020-10-13 |
| 1255939104 | Rance Carrington | Assisted Living Facility | 1137 W California St, Seymour, TX 76380-1552 | 2020-10-13 |
| 1083212211 | Neighbors Care, LLC | Assisted Living Facility | 3906 Everett Terrace Ln, Missouri City, TX 77459-1888 | 2020-10-10 |
| 1598362840 | Golden Age Home Care | Assisted Living Facility | 12706 Mutiny Ln, Tomball, TX 77377-8420 | 2020-10-08 |
| 1164038253 | Residential Senior Care (rsc) | Assisted Living Facility | 8040 Honeywood Trial, Port Arthur, TX 77642 | 2020-09-23 |
| 1548874670 | A Compassionate Assisted Living LLC | Assisted Living Facility | 1008 Springbrook Dr, Desoto, TX 75115-3944 | 2020-09-04 |
| 1679187975 | Arc Willowbrook, LLC | Assisted Living Facility | 7450 Willow Chase Blvd, Houston, TX 77070-5867 | 2020-09-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.