Kenwood Manor INC
Custodial Care Facility, Adult Care Home in Delmar, NY. Organization (NPI-2).
NPI number1417557828
StatusActive
Last updated in NPPESOct 27, 2020
Details
- NPI
- 1417557828
- Entity type
- Organization (NPI-2)
- Legal business name
- Kenwood Manor INC
- Organization subpart
- No
- Enumeration date
- Oct 27, 2020
- Certification date
- Oct 27, 2020
- Last updated
- Oct 27, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – | Yes |
Practice location
141 Rockefeller RdDelmar, NY 12054-2221
Phone 518-439-8899
Mailing address
4770 White Plains RdBronx, NY 10470-1104
Phone 718-931-9700
Authorized official
Kenneth Rozenberg
Manager
7189319700
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