Active NPI
Kendrick Elevation and Esteem Project
Doing business as Shepherds way home care llc
- Clinical Medical Laboratory
- Irmo, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- KENDRICK ELEVATION AND ESTEEM PROJECT
- Doing business as
- Shepherds way home care llc
- Practice address
- 7719 Saint Andrews Road
Suite C
Irmo, SC 29063-2906 - Phone
- (803) 708-8415
- NPI assigned
- Oct 5, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janice Kendrick
- Title
- Owner/Administrator
- Phone
- (803) 609-9002
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
7719 Saint Andrews Road
Suite C
Irmo, SC 29063-2906
Mailing address
106 Rowe Cir
Columbia, SC 29212-2511
Other names 1
- Shepherds way home care llc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220202001334 | SC | Part B Supplier - Mass Immunization (Roster Biller Only) | 9830582592 | Practice locations: Irmo, SC |
National Provider Directory
National Provider Directory- Tax ID family
- Kendrick Elevation and Esteem Project
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Shepherds Way Home care llc
- Clinical Medical Laboratory
- Columbia, SC
- NPI 1194474155
Locations
7719 Saint Andrews Rd
Ste C
Irmo, SC 29063
Phone (803) 708-8415
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Care Home Facility
- Pendleton, SC
- NPI 1548131436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647561600000",
"number": "1831796515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 ROWE CIR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292122511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7719 SAINT ANDREWS ROAD",
"address_2": "SUITE C",
"city": "IRMO",
"state": "SC",
"postal_code": "290632906",
"telephone_number": "803-708-8415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENDRICK ELEVATION AND ESTEEM PROJECT",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-05",
"last_updated": "2022-03-18",
"certification_date": "2022-03-18",
"status": "A",
"authorized_official_last_name": "KENDRICK",
"authorized_official_first_name": "JANICE",
"authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "803-609-9002"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shepherds way home care llc",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Shepherds way home care llc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Irmo, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.