KENNEDY REHABILITATION & HEALTHCARE LLC (NPI# 1376061747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376061747 |
| Entity Type | Organization |
| Organization Name | KENNEDY REHABILITATION & HEALTHCARE LLC |
| Other Organization Name | KENNEDY HEALTH & REHAB |
| Practice Address |
504 N John Redditt Dr Lufkin TX 75904-2644 |
| Practice Telephone | (936) 632-3331 |
| Mailing Telephone | 9366323331 |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2017-09-06 |
| Authorized Official Name | JOHN MONTGOMERY (MANAGER) |
| Authorized Official Telephone | 9184892755 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Kennedy Health & Rehab | Doing Business As Name - Organization |
| Street Address |
504 N JOHN REDDITT DR |
| City | LUFKIN |
| State | TX |
| Zip Code | 75904-2644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437194032 | Lufkin Ltc LLC | Skilled Nursing Facility | 504 N John Redditt Dr, Lufkin, TX 75904-2644 | 2006-06-18 |
| 1619334257 | Lufkin Healthcare, LLC | Skilled Nursing Facility | 504 N John Redditt Dr, Lufkin, TX 75904-2644 | 2016-01-27 |
| 1093115966 | Lufkin II Enterprises, LLC | Skilled Nursing Facility | 504 N John Redditt Dr, Lufkin, TX 75904-2644 | 2014-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759750 | David Kent Emmerling | Pharmacist | Walmart Pharmacy 10-0140, 2500 Daniel Mccall Drive, Lufkin, TX 75904 | 2020-10-27 |
| 1831732718 | Isaac Kwame Agyare | Pharmacist | 1522 West Frank Ave. Room 127, Lufkin, TX 75904 | 2019-10-23 |
| 1598314999 | Eva Faye Mcduffie | Technician | 1006 Sherwood Rd., Lufkin, TX 75904 | 2019-09-09 |
| 1477036119 | Tyra Williams | Occupational Therapy Assistant | 902 Hill Street, Lufkin, TX 75904 | 2018-09-10 |
| 1720560188 | Veronica Monique Kennedy | Pharmacist | 1522 West Frank, Lufkin, TX 75904 | 2018-09-02 |
| 1356821532 | Mark Anthony Plowman | Licensed Vocational Nurse | 379 Copperfield Loop, Lufkin, TX 75904 | 2018-08-17 |
| 1396222311 | Kevin Pulikottil Cherian | Occupational Therapist | 402 S John Redditt Dr., Lufkin, TX 75904 | 2018-07-23 |
| 1922593029 | Sarah Marie Stuart | Dentist | 103 N Brentwood Dr, Unit 400, Lufkin, TX 75904 | 2018-06-30 |
| 1083104004 | Pam Specialty Hospital of Lufkin, LLC | Long Term Care Hospital | 1201 W Frank Ave Ste D5, Lufkin, TX 75904 | 2018-05-15 |
| 1124523840 | Jane C Davidson | Nurse Practitioner | 1 Medical Center Blvd Ste C, Lufkin, TX 75904 | 2018-03-26 |
| Find all providers in zip 75904 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770059719 | Sweeny Hospital District | Skilled Nursing Facility | 902 Hill St, Lufkin, TX 75904-2724 | 2018-10-17 |
| 1497007157 | Med Travelers | Skilled Nursing Facility | 415 Montrose St, Lufkin, TX 75901-0439 | 2012-10-04 |
| 1639314560 | Liberty County Hospital District No.1 | Skilled Nursing Facility | 501 North Medford Drive, Lufkin, TX 75901-5219 | 2008-12-05 |
| 1295943272 | Point of Care Collaboratives,inc Ppc | Skilled Nursing Facility | 1428 Edgewood Cir, Lufkin, TX 75904-7631 | 2007-05-21 |
| 1437194032 | Lufkin Ltc LLC | Skilled Nursing Facility | 504 N John Redditt Dr, Lufkin, TX 75904-2644 | 2006-06-18 |
| 1578518924 | Lufkin I Enterprises, LLC | Skilled Nursing Facility | 2414 West Frank Ave, Lufkin, TX 75904-3521 | 2006-05-24 |
| 1518953827 | Stoneleigh Health Care Center Ltd. Co | Skilled Nursing Facility | 201 S John Redditt Dr, Lufkin, TX 75904-3142 | 2005-09-22 |
| 1659371565 | Mrc Pinecrest | Skilled Nursing Facility | 1302 Tome Temple Dr, Lufkin, TX 75904-5550 | 2005-07-21 |
| 1689672198 | Ihs Aquisition No 139 Inc | Skilled Nursing Facility | 300 N Bynum St, Lufkin, TX 75904-2707 | 2005-07-08 |
| 1982606174 | Cascade Angelina Health Services, Ltd | Skilled Nursing Facility | 2414 W Frank Ave, Lufkin, TX 75904-3521 | 2005-06-01 |
| Find all providers in LUFKIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.