NPIMap

Organization Active NPI

Kendrick Brain Restoration

  • Community/Behavioral Health Agency
  • Orland Park, IL
National Provider Identifier
1013539865
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KENDRICK BRAIN RESTORATION
Practice address
15255 S 94TH Ave Ste 500
Orland Park, IL 60462-3895
Phone
(502) 345-1487
NPI assigned
May 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Uneka Shervon Kendrick
Title
Ceo/Owner
Phone
(502) 345-1487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

15255 S 94TH Ave Ste 500
Orland Park, IL 60462-3895

Mailing address

15255 S 94TH Ave Ste 500
Orland Park, IL 60462-3895
Phone (502) 345-1487

National Provider Directory

National Provider Directory
Tax ID family
KBR2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1013539865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15255 S 94TH AVE STE 500",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623895",
            "telephone_number": "502-345-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15255 S 94TH AVE STE 500",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623895",
            "telephone_number": "502-345-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDRICK BRAIN RESTORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "KENDRICK",
        "authorized_official_first_name": "UNEKA",
        "authorized_official_middle_name": "SHERVON",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "502-345-1487"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.