Active NPI
Kennedy Health Care, Inc.
- In Home Supportive Care Agency
- Lake Worth, FL
National Provider Identifier
1174877286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- OT10179
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Francis Kennedy, OTR/L MOT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Boynton Beach, FL
- NPI 1699948182
-
- Occupational Therapist
- Lake Worth, FL
- NPI 1720263411
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.