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Mt. Kenn Nursing, LLC

Skilled Nursing Facility in Marietta, GA · enumerated 2006 · authorized official Boyd Gentry, Presidnet and Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053366336

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Registry record

Entity type Organization (Type 2)
Legal business name Mt. Kenn Nursing, LLC
Other name <Unavail>
Practice address 1480 Sandtown Road, Marietta, GA, 30008
Phone (770) 442-1755
Fax (770) 442-8784
Enumeration date May 24, 2006
Last updated in NPPES Jul 25, 2011

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 05-47025 (GA) Secondary
314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 1-033-1982 (GA) Primary

Authorized official

Name Boyd Gentry
Title Presidnet and Ceo
Phone (937) 964-8974

Other identifiers

Identifier Type State Issuer
00140159A Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Mt. Kenn Nursing, LLC?
The NPI for Mt. Kenn Nursing, LLC is 1053366336, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Mt. Kenn Nursing, LLC?
NPPES lists Boyd Gentry (Presidnet and Ceo) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-07-25.