National Provider Identifier Database

KENNEDY HEALTH SYSTEM ASSISTED LIVING
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.


Contact Information

KENNEDY HEALTH SYSTEM ASSISTED LIVING
.3501 WEST CHAPEL AVENUE
CHERRY HILL, NJ08022
Phone: 856-667-6826
Fax: 856-667-6907
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X

* Indicates primary specialty

NPI Profile & details for KENNEDY HEALTH SYSTEM ASSISTED LIVING

NPI Number 1699846113
Legal business name
LBN
KENNEDY HEALTH SYSTEM ASSISTED LIVING
Authorized official RICHARD KOSS - (VP AMBULATORY SERVICES)
Entity Organization
Organization subpart No
Enumeration date 11/13/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: NJ15A111
  • NJ Medicaid: 8344906

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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