Kelly Cares Inc

LBN: Kelly Cares Inc
Kelly Cares Inc is an health care organization with primary practice located at 1228 Kennedy Rd , Daytona Beach FL 32117-4120. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. Kelly Cares Inc can be contacted via phone (386) 268-3318, or through Kelly, Shanice via phone (386) 268-3318.

Contact Information

Primary practice address
1228 Kennedy Rd Daytona Beach FL 32117-4120
Phone: (386) 268-3318
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Shanice
Phone: (386) 268-3318

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1831717792
LBN Legal business name Kelly Cares Inc
DBA Doing business as
Authorized official Kelly, Shanice
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2020
Last updated May 17th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831717792 NPPES
Florida MEDICAID 107308600

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