OrganizationActive
1217 Kenwood LLC
NPI 1982464095 · Assisted Living Facility · Mesa, AZ
1217 Kenwood LLC is a Assisted Living Facility organization in Mesa, AZ (NPI 1982464095).
Provider details
- NPI number
- 1982464095
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Parent organization
- 1217 Kenwood LLC
- Organization subpart
- Yes
- Authorized official
- Ladonna Edgington, Owner/Operator(480) 646-2414
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
1217 E Kenwood St
Mesa, AZ 85203
Phone: (480) 646-2414
Street-level locationGet directions
Mailing address
1217 E Kenwood St
Mesa, AZ 85203
Other names (DBA / former)
- Doing business as
- Minnie Lee'S Senior Home Care
Registry dates
- Enumerated
- 2024-03-19
- Last updated
- 2024-09-20
- Certified
- 2024-09-20
Frequently asked questions
- What is 1217 Kenwood LLC's NPI number?
- 1217 Kenwood LLC's National Provider Identifier (NPI) is 1982464095, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 1217 Kenwood LLC?
- 1217 Kenwood LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is 1217 Kenwood LLC located?
- 1217 Kenwood LLC's practice location on file with NPPES is 1217 E Kenwood St, Mesa, AZ 85203.
- What is 1217 Kenwood LLC's phone number?
- The practice phone number listed in the NPPES registry for 1217 Kenwood LLC is (480) 646-2414.
- Who is the authorized official for 1217 Kenwood LLC?
- The authorized official listed on 1217 Kenwood LLC's NPPES record is Ladonna Edgington, Owner/Operator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 1217 Kenwood LLC's NPI active?
- Yes — 1217 Kenwood LLC's NPI (1982464095) is active in the NPPES registry as of the last update on 2024-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.