CINDY JOHNSON KENDRASHA GRAY
NPI 1720590870
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Longview, TX

Q: What is Cindy Johnson Kendrasha Gray's NPI number?

The NPI number for Cindy Johnson Kendrasha Gray is 1720590870. It was assigned to this organization in the NPPES registry on October 30, 2017.

Q: What is Cindy Johnson Kendrasha Gray's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since October 30, 2017

801 S MOBBERLY AVE, LONGVIEW, TX 75602(903) 424-8343(903) 424-8343 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 25, 2019, Oct 30, 2017 (2 updates tracked since 2017).

On this page

About Cindy Johnson Kendrasha Gray NPPES

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

CINDY JOHNSON KENDRASHA GRAY (NPI 1720590870) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Longview, Texas and active in the NPI registry since October 2017. The organization lists Cindy Rollins, General Partner, as its authorized official.

NPPES Registry Identity

NPI1720590870

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameCINDY JOHNSON KENDRASHA GRAY

Location Address801 S MOBBERLY AVELongview, TX 75602-2037

Mailing Address314 S 9th StLongview, TX 75602-1303 · (903) 424-8343

Phone(903) 424-8343

Fax(903) 424-8343

Organization SubpartNo

Authorized OfficialCindy RollinsGeneral Partner · (903) 424-8343

Enumeration DateOctober 30, 2017

Last NPPES UpdateSeptember 25, 20192 updates tracked since enumeration

✔ NPI 1720590870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

801 S MOBBERLY AVE, Longview, TX 75602

Open in Google Maps ↗

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 Cindy Johnson Kendrasha Gray's NPI number?

The NPI number for Cindy Johnson Kendrasha Gray is 1720590870. It was assigned to this organization in the NPPES registry on October 30, 2017.

Where is Cindy Johnson Kendrasha Gray located?

Cindy Johnson Kendrasha Gray is located at 801 S Mobberly Ave, Longview, TX 75602. The listed phone number is (903) 424-8343.

What is Cindy Johnson Kendrasha Gray's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Cindy Johnson Kendrasha Gray was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.