KENNY'S PERSONAL CARE HOME
NPI 1700462199
Assisted Living Facility in Stone Mountain, GA

Active since March 24, 2021
4043 BIG VALLEY TRL, STONE MOUNTAIN, GA 30083(770) 676-0766(770) 676-0766 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenny's Personal Care Home NPPES

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

KENNY'S PERSONAL CARE HOME (NPI 1700462199) is a healthcare organization registered as an assisted living facility in Stone Mountain, Georgia and active in the NPI registry since March 2021. The organization lists Kenyon Lindsey, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700462199
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameKENNY'S PERSONAL CARE HOME
Location Address4043 BIG VALLEY TRLStone Mountain, GA 30083-5711
Mailing Address4043 Big Valley TrlStone Mountain, GA 30083-5711 · (770) 676-0766 · Fax (770) 676-0766
Fax(770) 676-0766
Organization SubpartNo
Authorized OfficialKenyon LindseyCeo · (770) 899-2849
Enumeration DateMarch 24, 2021
NPPES CertifiedMarch 24, 2021
NPI 1700462199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
Also ListedHome HealthTaxonomy 251E00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
4043 BIG VALLEY TRL, Stone Mountain, GA 30083

Other Names 1

Former Legal Business NameKenny's Personal Care Home

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 Kenny's Personal Care Home's NPI number?

The NPI number for Kenny's Personal Care Home is 1700462199. It was assigned to this organization in the NPPES registry on March 24, 2021.

Where is Kenny's Personal Care Home located?

Kenny's Personal Care Home is located at 4043 Big Valley Trl, Stone Mountain, GA 30083. The listed phone number is (770) 676-0766.

What is Kenny's Personal Care Home'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 Kenny's Personal Care Home was last updated on March 24, 2021. 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.