Organization
KENNEDY UNIVERSITY HOSPITAL, INC
Active
Parent organization
KENNEDY HOME HEALTH CARE
Other names
Kennedy Home Health Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENNEDY HOME HEALTH CARE
Authorized official
MRS. KATHLEEN D. FLANNERY RN (ADMINISTRATOR)
(856) 809-4331
Entity
Organization
Contact information
Practice address
1099 WHITE HORSE RD, VOORHEES, NJ 08043-4405
(856) 566-2000
(856) 566-5288
Mailing address
333 LAUREL OAK ROAD, UNIT D, VOORHEES, NJ 08043
(856) 809-4300
(856) 566-9455
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
22365
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2K1918
HEALTHNET
—
01
—
317073
RAILROAD MEDICARE
—
05
—
4146506
—
NJ
01
—
4146514
CCPED MEDICAID
—
Enumeration date
08/16/2005
Last updated
05/08/2019
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