Organization Active NPI

Kendrick Elevation and Esteem Project

Doing business as Shepherds way home care llc

  • Clinical Medical Laboratory
  • Irmo, SC
National Provider Identifier
1831796515
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Mar 18, 2022

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

Authorized official

Name
Janice KendrickNPI 1548131436
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Project2 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.

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.

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.

Verify at the official NPI Registry.