NPIMap

Organization Active NPI

Kennedy Intensive in Home Services

  • Community/Behavioral Health Agency
  • Wadesboro, NC
National Provider Identifier
1396075719
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KENNEDY INTENSIVE IN HOME SERVICES
Practice address
107 E Wade St Ste C
Suite H
Wadesboro, NC 28170-2278
Phone
(704) 690-2274
NPI assigned
Jan 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Authorized official

Name
Ms. Veronical Kennedy
Title
Owner
Phone
(704) 690-2274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

107 E Wade St Ste C
Suite H
Wadesboro, NC 28170-2278

Mailing address

107 E Wade St Ste C
Suite H
Wadesboro, NC 28170-2278

National Provider Directory

National Provider Directory
Tax ID family
Kennedy Intensive in Home Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1396075719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E WADE ST STE C",
            "address_2": "SUITE H",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E WADE ST STE C",
            "address_2": "SUITE H",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702278",
            "telephone_number": "704-690-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY INTENSIVE IN HOME SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "VERONICAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-690-2274",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.