THE ERNEST E. KENNEDY CENTER (NPI# 1972574101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972574101 |
| Entity Type | Organization |
| Organization Name | THE ERNEST E. KENNEDY CENTER |
| Practice Address |
306 Airport Dr Moncks Corner SC 29461-2629 |
| Practice Telephone | 8437193000 |
| Practice Fax Number | 8437193025 |
| Mailing Telephone | 8437193000 |
| Mailing Fax Number | 8437193025 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2009-08-26 |
| Authorized Official Name | MRS. LINDA L. BAILEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8437193000 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | M00113SC1 | 05 |
| Street Address |
306 AIRPORT DR |
| City | MONCKS CORNER |
| State | SC |
| Zip Code | 29461-2629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881207652 | Earnest E Kennedy Center | Counselor | 306 Airport Dr, Moncks Corner, SC 29461-2629 | 2020-08-31 |
| 1689287203 | Ovp Health Care, Inc. | Family Medicine | 306 Airport Dr, Moncks Corner, SC 29461-2629 | 2020-08-24 |
| 1275173908 | John Paul Karabees | Counselor | 306 Airport Dr, Moncks Corner, SC 29461-2629 | 2020-01-10 |
| 1255978516 | Rebecca Denny | Counselor | 306 Airport Dr, Moncks Corner, SC 29461-2629 | 2019-12-05 |
| 1992356232 | Vanessa Ashley Kinney | Nurse Practitioner | 306 Airport Dr, Moncks Corner, SC 29461-2629 | 2019-09-27 |
| 1962067934 | Charmaine Singleton | Counselor | 306 Airport Dr, Moncks Corner, SC 29461-2629 | 2019-05-06 |
| 1275099582 | Chesley Elise Foxworth | Counselor | 306 Airport Dr, Moncks Corner, SC 29461-2629 | 2019-02-12 |
| 1851857213 | Alexis Ra'sha Richards | Counselor | 306 Airport Dr, Moncks Corner, SC 29461-2629 | 2019-02-11 |
| 1730653932 | Mark Wayne Gray | Peer Specialist | 306 Airport Dr, Moncks Corner, SC 29461-2629 | 2019-01-22 |
| 1902375603 | Tina Ramos | Counselor | 306 Airport Dr, Moncks Corner, SC 29461-2629 | 2018-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982267605 | Berkeley Citizens Inc | Early Intervention Provider Agency | P0 Drawer 429 1301 Old Hwy 52 South, Moncks Corner, SC 29461 | 2019-04-18 |
| 1376015222 | Anthony Johnson | Counselor | 306 Airport Drive, Moncks Corner, SC 29461 | 2018-12-17 |
| 1598243719 | Jana Matthews Chinners | Family Medicine | 2061 Us-52, Moncks Corner, SC 29461 | 2018-07-31 |
| 1285151225 | Nathan Andrew Bostrom | Occupational Therapist | 118 Carolina Avenue, Moncks Corner, SC 29461 | 2017-08-29 |
| 1942730528 | Martina Snider | Specialist | 393 Corner Square Plaza, Moncks Corner, SC 29461 | 2017-06-15 |
| 1104355502 | Mary Elizabeth Perdue | Counselor | 306 Airport Dr., Moncks Corner, SC 29461 | 2017-06-08 |
| 1619390481 | Berkeley Citizens, Inc. | Public Health or Welfare | 1301 Old Hwy. 52 South, Moncks Corner, SC 29461 | 2014-01-29 |
| 1326384082 | Amanda Trueworthy | Counselor | 3156 F South Live Oak Drive, Moncks Corner, SC 29461 | 2012-12-27 |
| 1790040202 | Melanie Mcendree | Community Health Worker | 105 Lobolly Dr., Moncks Corner, SC 29461 | 2012-07-10 |
| 1891093845 | Leslie Erin Blackmon Stelling | Pharmacist | 110 South Highway 52, Moncks Corner, SC 29461 | 2011-02-28 |
| Find all providers in zip 29461 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356893416 | Solutions Recovery Center, Inc. | Clinic/Center | 520 Lowndes Hill Rd, Greenville, SC 29607-1405 | 2016-10-25 |
| 1922487610 | Cornerstone Project Sc, LLC | Clinic/Center | 1919 Hampton St, Columbia, SC 29201-3535 | 2015-05-27 |
| 1912345893 | Shoreline Behavioral Health Service | Clinic/Center | 626 Tyson Dr, Pawleys Island, SC 29585-6925 | 2013-06-12 |
| 1801131420 | Recoverylife, LLC | Clinic/Center | 2246 Sumter St, Columbia, SC 29201-1932 | 2012-12-07 |
| 1780934976 | Pavillon Greenville Outpatient Services | Clinic/Center | 101 Pelham Commons Blvd, Greenville, SC 29615-4974 | 2012-09-14 |
| 1437383403 | Center for Behavioral Health South Carolina, Inc | Clinic/Center | 2301 Cosgrove Ave Ste F, North Charleston, SC 29405-7663 | 2009-05-06 |
| 1376691022 | Saluda County Alcohol & Drug Abuse Comm | Clinic/Center | 204 N Ramage St, Saluda, SC 29138-1359 | 2007-01-08 |
| 1487665055 | Fairfield Behavioral Health Services | Clinic/Center | 178 Us Highway 321 Bypass N., Winnsboro, SC 29180 | 2006-08-10 |
| 1053340273 | Greenwood-edgefield-mccormick-abbeville Commission On Alcohol and Drug | Clinic/Center | 1420 Spring St, Greenwood, SC 29646-4057 | 2006-07-01 |
| 1972532075 | Laurens County Commission On Alcohol and Drug Abuse | Clinic/Center | 219 Human Services Road, Clinton, SC 29325 | 2006-07-01 |
| Find all providers with the same taxonomy | ||||
| City | MONCKS CORNER |
| Zip Code | 29461 |
Please comment or provide details below to improve the information on THE ERNEST E. KENNEDY CENTER.
| 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.