KENWOOD PLAZA, INC.
NPI 1306823406
Assisted Living Facility in St John, KS

Q: What is Kenwood Plaza, Inc.'s NPI number?

The NPI number for Kenwood Plaza, Inc. is 1306823406. It was assigned to this organization in the NPPES registry on December 29, 2005.

Q: What is Kenwood Plaza, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since December 29, 2005

607 E 1ST AVE, ST JOHN, KS 67576(620) 549-6133(620) 549-9971 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kenwood Plaza, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENWOOD PLAZA, INC. (NPI 1306823406) is a healthcare organization registered as an assisted living facility in St John, Kansas and active in the NPI registry since December 2005. The organization lists Tracy L Bartley, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1306823406

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameKENWOOD PLAZA, INC.

Location Address607 E 1ST AVESt John, KS 67576-2223

Mailing Address607 E 1st AveSt John, KS 67576-2223 · (620) 549-6133 · Fax (620) 549-9971

Phone(620) 549-6133

Fax(620) 549-9971

Organization SubpartNo

Authorized OfficialTracy L BartleyChief Financial Officer · (785) 273-3383

Enumeration DateDecember 29, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1306823406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in KS · N093004

Definition

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.

607 E 1ST AVE, St John, KS 67576

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENWOOD BUSINESS LLC

Assisted Living Facility

607 E 1ST AVE
ST JOHN, KS 67576

Stafford County (214) 606-0550

FIRST STREET REHAB INC

Physical Therapy Assistant

607 E 1ST AVE
ST JOHN, KS 67576

Stafford County (620) 549-3757

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenwood Plaza, Inc.'s NPI number?

The NPI number for Kenwood Plaza, Inc. is 1306823406. It was assigned to this organization in the NPPES registry on December 29, 2005.

Where is Kenwood Plaza, Inc. located?

Kenwood Plaza, Inc. is located at 607 E 1st Ave, St John, KS 67576. The listed phone number is (620) 549-6133.

What is Kenwood Plaza, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Kenwood Plaza, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.