Kennedy Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

550002818 Issued in CA

Legal business name

KENNEDY HOSPICE, INC.

Practice address

820 N Mountain Ave
Suite #110
Upland, CA 91786-4163

Phone

(909) 587-6009

Fax

(909) 327-2929

NPI assigned

Jun 9, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Nancy Adekayode

Title

Ceo/President

Phone

(818) 691-7201

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1609289420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N MOUNTAIN AVE",
            "address_2": "SUITE #110",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864163",
            "telephone_number": "909-587-6009",
            "fax_number": "909-327-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N MOUNTAIN AVE",
            "address_2": "SUITE #110",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864163",
            "telephone_number": "909-587-6009",
            "fax_number": "909-327-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "ADEKAYODE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "818-691-7201",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550002818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "550002818",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Kelley
• Thomas Hudson Kelley, D.D.S.
• Trisha Leigh Kellogg
• Isaac Laurence Kelly, M.D.
• Kristen Kennebrew
• Keno Home Health Agency, LLC
• Thomas J Kepic, DDS, MSD
• Kevin M Jenkins DO AMC
• Marjan Khaleghi, NP
• Hammad Khan

• Community Based Hospice Care Agency in Upland, CA
• Providers in Upland, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.