Eric Kennedy
Foster Care Agency in Hastings, MN. Individual provider (NPI-1).
NPI number1194471409
StatusActive
Last updated in NPPESOct 25, 2022
Details
- NPI
- 1194471409
- Entity type
- Individual (NPI-1)
- Name
- Eric Kennedy
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 24, 2022
- Certification date
- Oct 25, 2022
- Last updated
- Oct 25, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253J00000X | Foster Care Agency | 1112834 | MN | Yes |
| 253J00000X | Foster Care Agency | 1113281 | MN |
Practice location
1403 Liddle LnHastings, MN 55033-8580
Phone 651-387-8647
Mailing address
1403 Liddle LnHastings, MN 55033-8580
Is something wrong?
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Other Foster Care Agency providers in Hastings, MN
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