Kennedy'S Assistive Living and Educational Facilty

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

KENNEDY'S ASSISTIVE LIVING AND EDUCATIONAL FACILTY

Doing business as

KALEF

Practice address

1941 Decker Blvd
Columbia, SC 29206-3470

Phone

(803) 787-0020

NPI assigned

Mar 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Carolyn A Kennedy, ED.D.

Title

Chief Executive Officer

Phone

(803) 736-5872

Specialties & licenses 7

Addresses

Other identifiers 1

Other names 1

• KALEF Doing business as

Tax ID family

Kalef2 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.

• Kennedy'S Assistive Living & Educational Facility

  • Developmentally Disabled Services Day Training Agency
  • Columbia, SC
  • NPI 1447482609
  NPD tax ID

Locations

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1275994022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 DECKER BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292063470",
            "telephone_number": "803-787-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 DECKER BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292063470",
            "telephone_number": "803-787-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY'S ASSISTIVE LIVING AND EDUCATIONAL FACILTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "803-736-5872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": "2016-38336-37480",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX0993",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KALEF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meredith Rebecca Kennedy, RN, IBCLC
• Miya Kennedy, RBT
• Richard McKinne Kennedy III, M.D.
• Yvette M Kennedy, EDD, LPC
• Kennedy'S Assistive Living & Educational Facility
• Allison Diane Kenney, LISW-CP
• Manya Jean Kenney, PT
• Patricia Marie Kenney, APRN
• Alorrah Kennison
• Haegan Kent

• Local Education Agency (LEA) in Columbia, SC
• Providers in Columbia, SC by specialty
• Local Education Agency (LEA) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.