Organization Active NPI

Kennedy Health Care, Inc.

  • In Home Supportive Care Agency
  • Lake Worth, FL
National Provider Identifier
1174877286
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
OT10179 Issued in FL
Legal business name
KENNEDY HEALTH CARE, INC.
Practice address
9273 Olmstead Dr
Lake Worth, FL 33467-3603
Phone
(561) 714-7332
Fax
(561) 964-7733
NPI assigned
Oct 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Authorized official

Name
John Francis Kennedy, OTR/L MOTNPI 1699948182
Title
President
Phone
(561) 714-7332

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X OT10179 FL Primary

Addresses

Primary practice location

9273 Olmstead Dr
Lake Worth, FL 33467-3603

Mailing address

9273 Olmstead Dr
Lake Worth, FL 33467-3603
Phone (561) 714-7332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121217000420 FL Part B Supplier - Clinic/Group Practice 6800048018 Receives reassigned benefits from 2 practitioners
Practice locations: Boynton Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1174877286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9273 OLMSTEAD DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334673603",
            "telephone_number": "561-714-7332",
            "fax_number": "561-964-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9273 OLMSTEAD DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334673603",
            "telephone_number": "561-714-7332",
            "fax_number": "561-964-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-714-7332",
        "authorized_official_credential": "OTR/L MOT"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "OT10179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.