Provider Demographics
NPI:1902899008
Name:THE KENDRA COMPANY, LLC
Entity Type:Organization
Organization Name:THE KENDRA COMPANY, LLC
Other - Org Name:GOODCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:E
Authorized Official - Last Name:CARGLE
Authorized Official - Suffix:
Authorized Official - Credentials:M DIV
Authorized Official - Phone:806-373-7373
Mailing Address - Street 1:PO BOX 7970
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79114-7970
Mailing Address - Country:US
Mailing Address - Phone:806-373-7373
Mailing Address - Fax:806-342-3300
Practice Address - Street 1:4107 W 49TH AVE
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-5941
Practice Address - Country:US
Practice Address - Phone:806-373-7373
Practice Address - Fax:806-342-3300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-24
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007538251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health