Kennedy'S Assistive Living & Educational Facility

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

2009-38336-37480 Issued in SC

Legal business name

KENNEDY'S ASSISTIVE LIVING & EDUCATIONAL FACILITY

Doing business as

KALEF

Practice address

3031 Scotsman Rd Ste 13
Columbia, SC 29223-1812

Phone

(803) 736-5872

Fax

(803) 736-5872

NPI assigned

Aug 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Carolyn Ann Kennedy

Title

President

Phone

(803) 736-9151

Specialties & licenses 4

Addresses

Other identifiers 15

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 and Educational Facilty

  • Local Education Agency (LEA)
  • Columbia, SC
  • NPI 1275994022
  NPD tax ID

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1447482609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 SCOTSMAN RD STE 13",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292231812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 SCOTSMAN RD STE 13",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292231812",
            "telephone_number": "803-736-5872",
            "fax_number": "803-736-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY'S ASSISTIVE LIVING & EDUCATIONAL FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-736-9151",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "SC",
            "license": "2009-38336-37480",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174H00000X",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374K00000X",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164W00000X",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376J00000X",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "385H00000X",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163W00000X",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172V00000X",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347C00000X",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343900000X",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374U00000X",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372500000X",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193200000X",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372600000X",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373H00000X",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390200000X",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KALEF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• Developmentally Disabled Services Day Training Agency in Columbia, SC
• Providers in Columbia, SC by specialty
• Developmentally Disabled Services Day Training Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.