NPIMap

Organization Active NPI

Kennedy Intensive Inhome

  • Community/Behavioral Health Agency
  • Wadesboro, NC
National Provider Identifier
1457581423
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KENNEDY INTENSIVE INHOME
Practice address
107 W Wade Street
Suite 107-H
Wadesboro, NC 28170-2177
Phone
(803) 367-6797
NPI assigned
Jul 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Authorized official

Name
Veronica Kennedy
Title
Owner
Phone
(803) 367-6797

Specialties & licenses 1

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

Addresses

Primary practice location

107 W Wade Street
Suite 107-H
Wadesboro, NC 28170-2177

Mailing address

809 Redwood LN
Chester, SC 29706-3769
Phone (803) 367-6797

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.

Locations

107 W Wade St
Ste 107H
Wadesboro, NC 28170
Phone (803) 367-6797

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1457581423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 REDWOOD LN",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297063769",
            "telephone_number": "803-367-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W WADE STREET",
            "address_2": "SUITE 107-H",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702177",
            "telephone_number": "803-367-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY INTENSIVE INHOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-367-6797"
    },
    "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 Aug 21, 2009; 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.