Kendrick Elevation and Esteem Project LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

KENDRICK ELEVATION AND ESTEEM PROJECT LLC

Practice address

408 Foxfire Dr Apt 605
Columbia, SC 29212-3300

Phone

(803) 708-8415

NPI assigned

Mar 18, 2022

Organization subpart

No

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

Authorized official

Name

Janice KendrickNPI 1548131436

Title

Owner/ Administrator

Phone

(803) 609-9002

Specialties & licenses 1

Addresses

Other names 1

• Shepherds Way Home care llc Doing business as

Tax ID family

Kendrick Elevation and Esteem Project2 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.

• Kendrick Elevation and Esteem Project

  • Clinical Medical Laboratory
  • Irmo, SC
  • NPI 1831796515
  NPD tax ID

Locations

Practitioners 1

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

• Janice Marie Kendrick

  • Adult Care Home Facility
  • Pendleton, SC
  • NPI 1548131436
  NPD Authorized official

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1194474155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 FOXFIRE DR APT 605",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292123300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 FOXFIRE DR APT 605",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292123300",
            "telephone_number": "803-708-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDRICK ELEVATION AND ESTEEM PROJECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "KENDRICK",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "803-609-9002"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shepherds Way Home care llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanesia Davis Kelly, APRN
• Jessie Kemmler, PHARMD
• Edward McDonnell Kendall, M.D.
• Erin Elisabeth Kendall
• Monica Dionne Kendall, CNA
• Andrea L. Kendrick
• Leslie Kendrick, AGACNP-BC
• Ijeoma Avunanya Kene-Ewulu, M.D.
• Jacqueline Elaine Kennebrew, RN
• Virginia Kennedy-Blume, RN

• Clinical Medical Laboratory in Columbia, SC
• Providers in Columbia, SC by specialty
• Clinical Medical Laboratory in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.