MINNIE LEE'S SENIOR HOME CARE
NPI 1982464095
Assisted Living Facility in Mesa, AZ

Q: What is 1217 Kenwood LLC's NPI number?

The NPI number for 1217 Kenwood LLC is 1982464095. It was assigned to this organization in the NPPES registry on March 19, 2024. The provider is doing business as Minnie Lee's Senior Home Care.

Q: What is 1217 Kenwood LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for 1217 Kenwood LLC was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since March 19, 2024

1217 E KENWOOD ST, MESA, AZ 85203(480) 646-2414 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2024, Jul 10, 2024 (2 updates tracked since 2024).

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About Minnie Lee's Senior Home Care NPPES

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

MINNIE LEE'S SENIOR HOME CARE (NPI 1982464095) is a healthcare organization registered as an assisted living facility in Mesa, Arizona and active in the NPI registry since March 2024. The organization lists Ladonna Edgington, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1982464095

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business Name1217 KENWOOD LLC

Location Address1217 E KENWOOD STMesa, AZ 85203

Mailing Address1217 E Kenwood StMesa, AZ 85203 · (480) 646-2414

Phone(480) 646-2414

Organization SubpartYes

Authorized OfficialLadonna EdgingtonOwner/operator · (480) 646-2414

Enumeration DateMarch 19, 2024

Last NPPES UpdateSeptember 20, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 20, 2024

✔ NPI 1982464095 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.

1217 E KENWOOD ST, Mesa, AZ 85203

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Other Names 1

Doing Business AsMinnie Lee's Senior Home Care

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 1217 Kenwood LLC's NPI number?

The NPI number for 1217 Kenwood LLC is 1982464095. It was assigned to this organization in the NPPES registry on March 19, 2024. The provider is doing business as Minnie Lee's Senior Home Care.

Where is 1217 Kenwood LLC located?

1217 Kenwood LLC is located at 1217 E Kenwood St, Mesa, AZ 85203. The listed phone number is (480) 646-2414.

What is 1217 Kenwood LLC'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 1217 Kenwood LLC was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.