Healthcare Provider Details

I. General information

NPI: 1023988680
Provider Name (Legal Business Name): KAYES PROPERTIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2025
Last Update Date: 11/10/2025
Certification Date: 11/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

294 MONMOUTH ST SW
CEDAR RAPIDS IA
52404-5211
US

IV. Provider business mailing address

294 MONMOUTH ST SW
CEDAR RAPIDS IA
52404-5211
US

V. Phone/Fax

Practice location:
  • Phone: 319-210-9999
  • Fax:
Mailing address:
  • Phone: 319-210-9999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. KASSANDRA K WEBB
Title or Position: OWNER
Credential:
Phone: 319-210-5660