Kennedy University Hospital, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

22365 Issued in NJ

Legal business name

KENNEDY UNIVERSITY HOSPITAL, INC

Doing business as

Kennedy Home Health Care

Practice address

1099 White Horse Rd
Voorhees, NJ 08043-4405

Phone

(856) 566-2000

Fax

(856) 566-5288

NPI assigned

Aug 16, 2005

Last updated

May 8, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

KENNEDY HOME HEALTH CAREAs reported in NPPES

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

Authorized official

Name

Mrs. Kathleen D. Flannery, RN

Title

Administrator

Phone

(856) 809-4331

Specialties & licenses 1

Addresses

Other identifiers 14

Other names 1

• Kennedy Home Health Care Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Part of

Kennedy Memorial Hosp U

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Jeffhome NJ, LLC.

  dba Jefferson Health at Home by BAYADA

  • Home Health Agency
  • Voorhees, NJ
  • NPI 1689321960

  Sold to, 2022-06-06

  CMS change of ownership

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1083606164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 LAUREL OAK ROAD",
            "address_2": "UNIT D",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "08043",
            "telephone_number": "856-809-4300",
            "fax_number": "856-566-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 WHITE HORSE RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434405",
            "telephone_number": "856-566-2000",
            "fax_number": "856-566-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY UNIVERSITY HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENNEDY HOME HEALTH CARE",
        "enumeration_date": "2005-08-16",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "FLANNERY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "856-809-4331",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "22365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON PPO BLUE SELECT",
            "identifier": "317073",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCPED MEDICAID",
            "identifier": "4146514",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "317073",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2K1918",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON MEDICARE POS",
            "identifier": "317073",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON POS",
            "identifier": "317073",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSOURCE",
            "identifier": "317073",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "317073",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON HMO",
            "identifier": "317073",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BLUE CARD PPO",
            "identifier": "317073",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ PLUS",
            "identifier": "317073",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON PPO BLUE CHOICE",
            "identifier": "317073",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4146506",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON HMO BLUE",
            "identifier": "317073",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kennedy Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kennedy Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kennedy Medical Group Practice, P.C. (Kennedy Health Alliance)
• Kennedy Medical Group Practice, P.C. (Jefferson Health)
• Kennedy Medical Group Practice, P.C. D/B/a Kennedy Health Alliance
• Kennedy Medical Group Practice, PC
• Kennedy University Hospital Inc. (Kennedy Dialysis Center - Voorhees)
• Kristi A. Kennedy, WHNP-BC
• Kenneth J. Oskowiak & Associates, DMD,PC
• Julie Kentrus, LCSW
• Sharla Joy Keough, APN-C
• Rishel Kerns

• Home Health Agency in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.