KENNEDY AVENUE CHIROPRACTIC (NPI# 1538635214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538635214 |
| Entity Type | Organization |
| Organization Name | KENNEDY AVENUE CHIROPRACTIC |
| Practice Address |
7051 Kennedy Ave Hammond IN 46323-2213 |
| Practice Telephone | 2198036630 |
| Practice Fax Number | 2199377237 |
| Mailing Telephone | 2198036630 |
| Mailing Fax Number | 2199377237 |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2018-10-19 |
| Authorized Official Name | DR. AHMAD R SPROUSE (OWNER/ PRESIDENT) |
| Authorized Official Telephone | 2196292312 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300013370 | 05 |
| Other Name | Type Code |
|---|---|
| Kennedy ave Wellness | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | KENNEDY AVENUE CHIROPRACTIC, LLC | 1184 W. Pioneer Pkwy, Arlington, TX 76013 |
| Street Address |
7051 KENNEDY AVE |
| City | HAMMOND |
| State | IN |
| Zip Code | 46323-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407404569 | Integrated Body and Medicine PC | General Practice | 7051 Kennedy Ave, Hammond, IN 46323-2213 | 2019-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477052645 | Orthospine Monitoring LLC | Psychiatry & Neurology | 2901 Carlson Drive, Suite 375, Hammond, IN 46323 | 2018-02-02 |
| 1790863256 | Pacific Healthcare, Inc. | Clinic/Center | 6829-1/2 S. Grand Avenue, Hammond, IN 46323 | 2006-11-01 |
| 1083061568 | Thomas Wilkins | Family Medicine | 3432 169th St, Hammond, IN 46323 | 2016-05-16 |
| 1891070678 | Andrea Clarice Nygaard | Pharmacist | 6905 Kennedy Ave, Hammond, IN 46323 | 2011-10-12 |
| 1053584938 | Waneta Deshon Willis-cooper | Developmental Therapist | 6116 Marshall Ave, Hammond, IN 46323-1054 | 2008-04-10 |
| 1255948204 | Independence Plus-in, LLC | Home Health | 2901 Carlson Dr Ste 361, Hammond, IN 46323-1100 | 2020-09-24 |
| 1174146799 | Inspire Nursing Services | Home Health | 2901 Carlson Dr Ste 371, Hammond, IN 46323-1100 | 2020-05-19 |
| 1134241805 | Gina Marie Maldonado | Developmental Therapist | 3232 165th St, Hammond, IN 46323-1213 | 2007-04-04 |
| 1871659599 | Joseph Robert Kolanko | Chiropractor | 3224 165th St, Hammond, IN 46323-1218 | 2006-12-28 |
| 1114211844 | Swts | Non-emergency Medical Transport (VAN) | 6411 Grand Ave, Hammond, IN 46323-1230 | 2011-05-27 |
| Find all providers in zip 46323 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563113 | Gilhousen Chiropractic Health & Sports Center | Chiropractor | 1025 Davis St, Hammond, WI 54015-9657 | 2019-08-14 |
| 1932684701 | Kurt Edwin Dichiara | Chiropractor | 1330 S Magnolia St, Suite B, Hammond, LA 70403 | 2018-09-27 |
| 1457850158 | Dynamic Performance Chiropractic of Hammond | Chiropractor | 1330 South Magnolia, Suite B, Hammond, LA 70403 | 2018-02-08 |
| 1861819773 | Wayne Johnson Jr. | Chiropractor | 303 W Minnesota Park Rd Ste C, Hammond, LA 70403-6149 | 2014-03-28 |
| 1083038608 | Samuel Catalanatto | Chiropractor | 42262 Broadwalk Ave, Hammond, LA 70403-1081 | 2014-02-18 |
| 1447593975 | Health Resource LLC | Chiropractor | 2105 Rue Simone, Suite B, Hammond, LA 70403-5727 | 2013-04-03 |
| 1053603126 | Advanced Spinal Care LLC | Chiropractor | 2790 W. Church Street, Suite #4, Hammond, LA 70401-2860 | 2011-05-09 |
| 1578709036 | Hammond Spine & Rehab LLC | Chiropractor | 6949 Kennedy Ave Ste B, Hammond, IN 46323-2245 | 2009-01-05 |
| 1164668182 | Curtis Health Services, LLC | Chiropractor | 303 W Minnesota Park Rd, Suite C, Hammond, LA 70403-6149 | 2008-12-22 |
| 1891973848 | Frederic Ryan Gonzales | Chiropractor | 903 W Thomas St, Hammond, LA 70401-3037 | 2008-02-01 |
| Find all providers in HAMMOND | ||||
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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.