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Contact Information

KENNEDY'S ASSISTIVE LIVING & EDUCATIONAL FACILITY
3031 SCOTSMAN RD STE 13
COLUMBIA, SC29223-1812
 Phone: 803-736-5872
 Fax: 803-736-5872
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Day Training, Developmentally Disabled Services

251C00000X
 

Customized Equipment

332BC3200X 87 All Other Suppliers
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for KENNEDY'S ASSISTIVE LIVING & EDUCATIONAL FACILITY

NPI # 1447482609
LBN Legal business name KENNEDY'S ASSISTIVE LIVING & EDUCATIONAL FACILITY
Authorized official CAROLYN KENNEDY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/20/2009
Last updated 02/26/2010 - About 16 years ago
Identifiers
SC License # 2009-38336-37480
SC Medicaid 163W00000X
SC Medicaid 164W00000X
SC Medicaid 172V00000X
SC Medicaid 174H00000X
SC Medicaid 193200000X
SC Medicaid 343900000X
SC Medicaid 347C00000X
SC Medicaid 372500000X
SC Medicaid 372600000X
SC Medicaid 373H00000X
SC Medicaid 374K00000X
SC Medicaid 374U00000X
SC Medicaid 376J00000X
SC Medicaid 385H00000X
SC Medicaid 390200000X
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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