Jenneh Kennedy

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

412287 Issued in MN

Practice address

3835 120TH LN NW
Coon Rapids, MN 55433-1675

Phone

(612) 802-1817

NPI assigned

May 22, 2023

Last updated

May 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dundas Home Care LLC

  • In Home Supportive Care Agency
  • Coon Rapids, MN
  • NPI 1508622945
  NPD Authorized official

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1093407934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 120TH LN NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554331675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 120TH LN NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554331675",
            "telephone_number": "612-802-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JENNEH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MN",
            "license": "412287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Birgit Olsen Kelly, LICSW
• Suzanne Maxine Kelly, LMFT
• Kelsey Sorensen LLC (Northern Oak Wellness)
• Amanda Kempa
• James Kennedy
• Michael S Kennedy, CRNA
• Margie Kennelly, DDS
• Amy Christine Keranen, MD
• Brenda Ann Kern, DPT
• Lauren Marie Kern

• In Home Supportive Care Agency in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• In Home Supportive Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.