KENNEDY'S ASSISTIVE LIVING & EDUCATIONAL FACILITY (NPI# 1447482609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447482609 |
| Entity Type | Organization |
| Organization Name | KENNEDY'S ASSISTIVE LIVING & EDUCATIONAL FACILITY |
| Other Organization Name | KALEF |
| Practice Address |
3031 Scotsman Rd Ste 13 Columbia SC 29223-1812 |
| Practice Telephone | 8037365872 |
| Practice Fax Number | 8037365872 |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2010-02-26 |
| Authorized Official Name | DR. CAROLYN ANN KENNEDY (PRESIDENT) |
| Authorized Official Telephone | 8037369151 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
Suppliers | ||
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 2009-38336-37480 | SC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 163W00000X | 05 | |
| SC | 172V00000X | 05 | |
| SC | 164W00000X | 05 | |
| SC | 373H00000X | 05 | |
| SC | 390200000X | 05 | |
| SC | 193200000X | 05 | |
| SC | 374K00000X | 05 | |
| SC | 385H00000X | 05 | |
| SC | 372500000X | 05 | |
| SC | 372600000X | 05 | |
| SC | 347C00000X | 05 | |
| SC | 374U00000X | 05 | |
| SC | 376J00000X | 05 | |
| SC | 174H00000X | 05 | |
| SC | 343900000X | 05 |
| Other Name | Type Code |
|---|---|
| KALEF | Doing Business As Name - Organization |
| Street Address |
3031 SCOTSMAN RD STE 13 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29223-1812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740559228 | Transitional Services, Inc | In Home Supportive Care | 3031 Scotsman Rd Ste 13, Columbia, SC 29223-1812 | 2011-12-29 |
| 1194040196 | Prosperity Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3031 Scotsman Rd Ste 13, Columbia, SC 29223-1812 | 2010-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
| 1750824819 | Marquita Heyward | Counselor | 1 Winsor Cove Suite 303, Columbia, SC 29223 | 2016-11-22 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1225485170 | Lisa Diaz | Occupational Therapy Assistant | 7601 Parlane Rd, Columbia, SC 29223 | 2016-05-20 |
| 1295199859 | Sarah Ann Riley | Nurse Practitioner | Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 | 2016-04-11 |
| 1134583214 | Sara Alisha Pound | Behavioral Analyst | 97b Winterberry Ln, Columbia, SC 29223 | 2016-04-05 |
| 1508227653 | Lucy Elvira Vicioso-harris | Counselor | 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 | 2016-03-17 |
| 1134585243 | Robin Heaton | Occupational Therapy Assistant | 7601 Parklane Road, Columbia, SC 29223 | 2016-01-05 |
| Find all providers in zip 29223 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538716246 | Sam's Hope, Incorporated | Day Training, Developmentally Disabled Services | 3 Knowlton Rd, Columbia, NJ 07832-2207 | 2019-08-19 |
| 1720448517 | Mountain Top Adult Day Center | Day Training, Developmentally Disabled Services | 1941 Decker Blvd, Columbia, SC 29206-3470 | 2016-03-07 |
| 1326417742 | Ease Healthcare | Day Training, Developmentally Disabled Services | 22 Broadway Village Dr Apt B, Apt B, Columbia, MO 65201-8650 | 2015-09-15 |
| 1568800852 | Monarch | Day Training, Developmentally Disabled Services | 1208 Us Highway 64 E, Columbia, NC 27925-8890 | 2013-06-07 |
| 1073887402 | Rehab Resources, LLC | Day Training, Developmentally Disabled Services | 1669 Grants Road, Columbia, TN 38401 | 2012-03-02 |
| 1962701169 | Autism Institute of South Carolina, LLC | Day Training, Developmentally Disabled Services | 3924 Forest Dr, Suite #3, Columbia, SC 29204-4150 | 2011-03-28 |
| 1285949743 | Express Medical Staffing, Inc. | Day Training, Developmentally Disabled Services | 228 Riser St, Columbia, LA 71418-4335 | 2010-08-09 |
| 1437204492 | Alternative Community Training, Inc. | Day Training, Developmentally Disabled Services | 2200 Burlington St, Columbia, MO 65202-1987 | 2007-01-23 |
| 1548322605 | State of Missouri | Day Training, Developmentally Disabled Services | 1500 Vandiver Dr Ste 100, Columbia, MO 65202-3932 | 2006-12-15 |
| 1104998673 | Cheryl Gajadhar | Day Training, Developmentally Disabled Services | 3830 Davies Dr, Columbia, SC 29223-4709 | 2006-11-14 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on KENNEDY'S ASSISTIVE LIVING & EDUCATIONAL FACILITY.
| 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.