WYNWOOD OF VERNON
NPI 1710043906
Assisted Living Facility in Vernon, TX

Active since December 29, 2006
4501 COLLEGE DR, VERNON, TX 76384(940) 552-8181 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wynwood Of Vernon NPPES

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

WYNWOOD OF VERNON (NPI 1710043906) is a healthcare organization registered as an assisted living facility in Vernon, Texas and active in the NPI registry since December 2006. The organization lists Mark Ohlendorf, Co-president, as its authorized official.

NPPES Registry Identity

NPI1710043906
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameKGC OPERATOR, INC.
Location Address4501 COLLEGE DRVernon, TX 76384-4093
Mailing Address6737 W Washington St, Suite 2300Milwaukee, WI 53214-5647
Organization SubpartNo
Authorized OfficialMark OhlendorfCo-president · (414) 918-5000
Enumeration DateDecember 29, 2006
Last NPPES UpdateJune 13, 2008
NPI 1710043906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
4501 COLLEGE DR, Vernon, TX 76384

Other Names 1

Doing Business AsWynwood Of Vernon

Other Identifiers 1

Medicaid001004636TX

Other Providers at the Same Location NPPES

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

Assisted Living Facility
4501 COLLEGE DR
VERNON, TX 76384

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 Kgc Operator, Inc.'s NPI number?

The NPI number for Kgc Operator, Inc. is 1710043906. It was assigned to this organization in the NPPES registry on December 29, 2006. The provider is doing business as Wynwood Of Vernon.

Where is Kgc Operator, Inc. located?

Kgc Operator, Inc. is located at 4501 College Dr, Vernon, TX 76384. The listed phone number is (940) 552-8181.

What is Kgc Operator, 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 Kgc Operator, Inc. was last updated on June 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.