# KENNEDY HEALTH FACILITIES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kennedy Health Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952395030
- **Authorized official:** MR. RICHARD KOSS (VICE PRESIDENT, AMBULATORY SERVICES)
- **Authorized official phone:** (856) 566-5279

## Contact information

- **Practice address:** 535 EGG HARBOR RD, SEWELL, NJ 08080-2335
- **Practice address phone:** (856) 582-3170
- **Practice address fax:** (856) 582-3143
- **Mailing address:** 535 EGG HARBOR RD, SEWELL, NJ 08080-2335
- **Mailing address phone:** (856) 582-3170
- **Mailing address fax:** (856) 582-3143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 060806 | NJ | Yes |

## Other

- **Enumeration date:** 09/06/2005
- **Last updated:** 06/29/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0000591100 | INDEPENDENCE BLUE CROSS | PA |
| 01 | — | 13145 | AETNA USHEALTHCARE | NJ |
| 01 | — | 315231 | HORIZON BLUE CROSS | NJ |
| 05 | — | 4478304 | — | NJ |
| 01 | — | 612914300 | FEDERAL BLACK LUNG | FL |