Ernest Kennedy Center

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

ERNEST KENNEDY CENTER

Practice address

96 Wisteria Rd
Goose Creek, SC 29445-3495

Phone

(843) 867-6132

NPI assigned

Aug 26, 2020

Organization subpart

No

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

Authorized official

Name

Jerome Tilghman

Title

Executive Director

Phone

(843) 719-3001

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

Earnest E Kennedy Center2 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.

• Earnest E Kennedy Center

  • Addiction (Substance Use Disorder) Counselor
  • Moncks Corner, SC
  • NPI 1881207652
  NPD tax ID

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1982217246",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 WISTERIA RD",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453495",
            "telephone_number": "843-867-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNEST KENNEDY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "TILGHMAN",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-719-3001"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmiller@ekcenter.org",
            "affiliation": "N",
            "address_1": "96 Wisteria Rd",
            "city": "Goose Creek",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294453495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Annalee Elizabeth Rose Edwards, LPN
• Eiram Medical Services LLC
• Omnaya Samir Elhosary
• Empowered Home Health Care LLC
• Empowered Home Health Care LLC
• Lucretia Espiritu, M.S.R., CCC-SLP
• Essential Medical Resources, Inc.
• Jeff Eulau, D.C.
• Joyce Ewell, LPC
• Alexander Eye, M.D.

• Addiction (Substance Use Disorder) Counselor in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Addiction (Substance Use Disorder) Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.