Kennedy Health Facilities, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

060806 Issued in NJ

Legal business name

KENNEDY HEALTH FACILITIES, INC.

Practice address

535 Egg Harbor Rd
Sewell, NJ 08080-2335

Phone

(856) 582-3170

Fax

(856) 582-3143

NPI assigned

Sep 6, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Richard Koss

Title

Vice President, Ambulatory Services

Phone

(856) 566-5279

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Kennedy Health Care Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1952395030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 EGG HARBOR RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802335",
            "telephone_number": "856-582-3170",
            "fax_number": "856-582-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 EGG HARBOR RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802335",
            "telephone_number": "856-582-3170",
            "fax_number": "856-582-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY HEALTH FACILITIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "KOSS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VICE PRESIDENT, AMBULATORY SERVICES",
        "authorized_official_telephone_number": "856-566-5279",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "060806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BLUE CROSS",
            "identifier": "315231",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "612914300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA USHEALTHCARE",
            "identifier": "13145",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4478304",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0000591100",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kennedy Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin James Kastrava Jr.
• Sarah Kearney, DPT
• Michael K Keene Sr., D.MIN
• Ashley Kendra, FNP-C
• Kennedy Behavorial Health
• Kennedy Health System
• Kennedy Health System
• Kennedy Health System
• Kennedy Health Systems
• Kennedy Medical Group Practice P.C.

• Skilled Nursing Facility in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.