KENNEDY ADDICTION RECOVERY CENTER, LLC (NPI# 1841760865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841760865 |
| Entity Type | Organization |
| Organization Name | KENNEDY ADDICTION RECOVERY CENTER, LLC |
| Practice Address |
5006 E Trindle Rd Ste 200 Mechanicsburg PA 17050-3647 |
| Practice Telephone | 4109616854 |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2018-12-03 |
| Authorized Official Name | TIM WEBER (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 7177902856 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
5006 E TRINDLE RD STE 200 |
| City | MECHANICSBURG |
| State | PA |
| Zip Code | 17050-3647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578127130 | Amanda P Boyer | Counselor | 5006 E Trindle Rd Ste 200, Mechanicsburg, PA 17050-3647 | 2019-04-29 |
| 1316411192 | Kristen Kennedy | Counselor | 5006 E Trindle Rd Ste 200, Mechanicsburg, PA 17050-3647 | 2019-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902459381 | Agape Counseling of Central Penn | Counselor | 5249 Simpson Ferry Rd., Mechanicsburg, PA 17050 | 2019-07-24 |
| 1316590300 | Elizabeth Vanpelt | Social Worker | 2023 Mountain Pine Dr., Mechanicsburg, PA 17050 | 2019-07-19 |
| 1760967392 | Megan Michele Okafor | Family Medicine | 335 Lambs Gap Road, Mechanicsburg, PA 17050 | 2018-09-28 |
| 1962980300 | Biodxx, Inc. | Pathology | Biodxx Inc., 100 Bianca Court, Mechanicsburg, PA 17050 | 2018-07-28 |
| 1871071217 | Biozt Corporation | Pathology | 100 Bianca Ct, Mechanicsburg, PA 17050 | 2018-07-28 |
| 1699151183 | Barry Alan Wingard | Surgery | 1615 Jerusalem Road, Mechanicsburg, PA 17050 | 2015-08-06 |
| 1720488737 | Jonathan Thomas Milliron | Physical Therapist | 5103 Carliste Pike, Gilbert Physical Therapy Affiliate of Outpatient Physic, Mechanicsburg, PA 17050 | 2014-08-27 |
| 1952652554 | Behavioral Health PC | Counselor | 1229 Scenery Dr, Mechanicsburg, PA 17050 | 2012-09-24 |
| 1194091546 | John Clinton Stoner | Pediatrics | 5385 Rivendale Blvd., Mechanicsburg, PA 17050 | 2012-03-30 |
| 1922394634 | Mary Ann Nowak Stetz | Social Worker | 1016 Crystal Creek Circle, Mechanicsburg, PA 17050 | 2011-06-21 |
| Find all providers in zip 17050 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816204 | Source Behavioral Health Services, LLC | Clinic/Center | 301 Oxford Valley Rd Ste 1302, Yardley, PA 19067-7706 | 2020-06-22 |
| 1780218594 | Davis Archway Centers for Addiction Treatment, Inc. | Clinic/Center | 114 Courson Ln, Emlenton, PA 16373-2502 | 2020-03-02 |
| 1871125625 | New Hope Community Medical Care LLC | Clinic/Center | 2602 W 9th St Ste 101, Chester, PA 19013-2089 | 2020-02-10 |
| 1528699931 | Caron Outpatient Services, LLC | Clinic/Center | 401 Plymouth Rd Ste 325, Plymouth Meeting, PA 19462-1650 | 2020-02-04 |
| 1124658331 | White Oak Wellness | Clinic/Center | 1966 Lincoln Way Ste 100, White Oak, PA 15131-2416 | 2020-01-16 |
| 1518517283 | Peace Valley Recovery | Clinic/Center | 5230 York Rd, Doylestown, PA 18902-1736 | 2019-09-16 |
| 1841853256 | Trinity Recovery LLP | Clinic/Center | 1311 E State St, Sharon, PA 16146-3246 | 2019-04-22 |
| 1861950909 | Advanced Treatment Centers LLC | Clinic/Center | 60 Abele Rd Ste 1103, Bridgeville, PA 15017-3467 | 2019-03-07 |
| 1467918722 | Melissa Francomacaro | Clinic/Center | 1035 W Walnut St Apt 2, Allentown, PA 18102-4847 | 2019-02-12 |
| 1205390325 | Pyramid Health Care Inc. | Clinic/Center | 100 Upper Demunds Rd, Dallas, PA 18612-8811 | 2019-01-23 |
| Find all providers with the same taxonomy | ||||
| City | MECHANICSBURG |
| Zip Code | 17050 |
Please comment or provide details below to improve the information on KENNEDY ADDICTION RECOVERY CENTER, LLC.
| 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.