Kennedy's Assistive Living & Educational Facility
Day Training, Developmentally Disabled Services
3031 Scotsman Rd Ste 13, Columbia
South Carolina, 29223-1812
803-736-5872 803-736-5872
Kennedy's Assistive Living & Educational Facility is not a DME supplier for medicare equipment and products.Kennedy's Assistive Living & Educational Facility is a Day Training, Developmentally Disabled Services in Columbia, South Carolina. It is located at 3031 Scotsman Rd Ste 13, Columbia and it's customer support contact number is 803-736-5872. The authorized person of Kennedy's Assistive Living & Educational Facility is Dr. Carolyn Ann Kennedy who is President of this DME and his contact number is 803-736-9151. Active license number of Kennedy's Assistive Living & Educational Facility is 2009-38336-37480 for Day Training, Developmentally Disabled Services in South Carolina.
Kennedy's Assistive Living & Educational Facility is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
DME Supplier Details:
Kennedy's Assistive Living & Educational Facility type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Kennedy's Assistive Living & Educational Facility |
| Type: | Day Training, Developmentally Disabled Services |
| Location: | 3031 Scotsman Rd Ste 13, Columbia, South Carolina, 29223-1812 |
| Phone: | 803-736-5872 |
| Fax: | 803-736-5872 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Carolyn Ann Kennedy |
| Position: | President |
| Contact Number: | 803-736-9151 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1447482609 |
| NPI Enumeration Date: | 20 Aug, 2009 |
| NPI Last Update On: | 26 Feb, 2010 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kennedy's Assistive Living & Educational Facility are as mentioned below.
| Specialization | License Number | State | Status | |
| Day Training, Developmentally Disabled Services | 2009-38336-37480 | South Carolina | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Nursing Facility Supplies | | | Secondary | |
| Customized Equipment | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 174H00000X | Medicaid | South Carolina | |
| 374K00000X | Medicaid | South Carolina | |
| 164W00000X | Medicaid | South Carolina | |
| 376J00000X | Medicaid | South Carolina | |
| 385H00000X | Medicaid | South Carolina | |
| 163W00000X | Medicaid | South Carolina | |
| 172V00000X | Medicaid | South Carolina | |
| 347C00000X | Medicaid | South Carolina | |
| 343900000X | Medicaid | South Carolina | |
| 374U00000X | Medicaid | South Carolina | |
| 372500000X | Medicaid | South Carolina | |
| 193200000X | Medicaid | South Carolina | |
| 372600000X | Medicaid | South Carolina | |
| 373H00000X | Medicaid | South Carolina | |
| 390200000X | Medicaid | South Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3031 Scotsman Rd Ste 13, Columbia, South Carolina |
| Zip: | 29223-1812 |
| Phone Number: | -- |
Patients can reach Kennedy's Assistive Living & Educational Facility at
3031 Scotsman Rd Ste 13, Columbia, South Carolina or can
call on customer care at 803-736-5872.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.