Mt. Kenn Nursing, LLC
NPI 1053366336 · Skilled Nursing Facility · Marietta, GA
Mt. Kenn Nursing, LLC is a Skilled Nursing Facility organization in Marietta, GA (NPI 1053366336).
Provider details
- NPI number
- 1053366336
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Boyd Gentry, Presidnet and Ceo(937) 964-8974
- License
- 05-47025 (GA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Autumn Breeze Healthcare Center
Registry dates
- Enumerated
- 2006-05-24
- Last updated
- 2011-07-25
Frequently asked questions
- What is Mt. Kenn Nursing, LLC's NPI number?
- Mt. Kenn Nursing, LLC's National Provider Identifier (NPI) is 1053366336, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mt. Kenn Nursing, LLC?
- Mt. Kenn Nursing, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Mt. Kenn Nursing, LLC located?
- Mt. Kenn Nursing, LLC's practice location on file with NPPES is 1480 Sandtown Road, Marietta, GA 30008-3821.
- What is Mt. Kenn Nursing, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mt. Kenn Nursing, LLC is (770) 442-1755.
- Who is the authorized official for Mt. Kenn Nursing, LLC?
- The authorized official listed on Mt. Kenn Nursing, LLC's NPPES record is Boyd Gentry, Presidnet and Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mt. Kenn Nursing, LLC's NPI active?
- Yes — Mt. Kenn Nursing, LLC's NPI (1053366336) is active in the NPPES registry as of the last update on 2011-07-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.