NPIMap

Organization Active NPI

Kennedy Intensive in Home Services

  • Mental Health Counselor
  • Wadesboro, NC
National Provider Identifier
1922321942
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KENNEDY INTENSIVE IN HOME SERVICES
Practice address
216 Wortham St
Wadesboro, NC 28170-2424
Phone
(704) 690-2274
NPI assigned
Mar 4, 2010
Last updated
Mar 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Authorized official

Name
Veronica Davis Kennedy
Title
Owner
Phone
(704) 690-2274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

216 Wortham St
Wadesboro, NC 28170-2424

Mailing address

809 Redwood LN
Chester, SC 29706-3769

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.

NPI Registry JSON

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1922321942",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 WORTHAM ST",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702424",
            "telephone_number": "704-690-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY INTENSIVE IN HOME SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-690-2274"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "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 Mar 4, 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.