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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 Specialty Code Provider Type

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for KENNEDY HEALTH SYSTEM ASSISTED LIVING

NPI Number 1699846113
LBN Legal business name KENNEDY HEALTH SYSTEM ASSISTED LIVING
Authorized official RICHARD KOSS - (VP AMBULATORY SERVICES)
Entity Organization
Organization subpart 1 No
Enumeration date 11/13/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NJ License # NJ15A111
NJ Medicaid 8344906
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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