The Ernest E. Kennedy Center

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

THE ERNEST E. KENNEDY CENTER

Practice address

306 Airport Dr
Moncks Corner, SC 29461-2629

Phone

(843) 719-3000

Fax

(843) 719-3025

NPI assigned

Jan 27, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Linda L. Bailey

Title

Executive Director

Phone

(843) 719-3000

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

The Ernest E Kennedy Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Ernest E. Kennedy Center

  • Professional Counselor
  • Moncks Corner, SC
  • NPI 1750406476
  NPD tax ID
• The Ernest E Kennedy Center

  • Community/Behavioral Health Agency
  • Moncks Corner, SC
  • NPI 1326251513
  NPD tax ID
• The Ernest E Kennedy Center

  • Community/Behavioral Health Agency
  • Goose Creek, SC
  • NPI 1639493828
  NPD tax ID

Locations

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1972574101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 AIRPORT DR",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294612629",
            "telephone_number": "843-719-3000",
            "fax_number": "843-719-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 AIRPORT DR",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294612629",
            "telephone_number": "843-719-3000",
            "fax_number": "843-719-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ERNEST E. KENNEDY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-719-3000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M00113SC1",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dehaven Preston Taylor, LDO
• Joseph Simon Taylor Sr., PHARMD.
• Stephanie S Tejeda
• Thaler Chiropractic
• The Ernest E Kennedy Center
• The Road to Light, LLC
• Thi of South Carolina at Moncks Corner, LLC
• Bryan Kendall Thomas, M.D.
• Jessie Xiaoyun Thomas, RD
• Riana Nio Thomas, LMSW

• Substance Use Disorder Rehabilitation Clinic/Center in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.