Kelly Assisted Living Services, Inc.
LBN: Kelly Home Care Services, Inc.
Kelly Assisted Living Services, Inc. is an health care organization with primary practice located at 999 W Big Beaver Rd , Troy MI 48084-4716. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty.
Kelly Home Care Services, Inc. can be contacted via phone (248) 362-4444, or through Womble, Michelle (Shelle) R via phone (248) 244-4917.
Contact Information
Primary practice address
999 W Big Beaver Rd
Troy MI 48084-4716
Phone: (248) 362-4444
Fax: (248) 244-5247
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | HC0055 | North Carolina |
| Agencies / Home Health | 251E00000X | HC0246 | North Carolina |
| Agencies / Home Health | 251E00000X | HC0054 | North Carolina |
| Agencies / Home Health | 251E00000X | HC0056 | North Carolina |
| Agencies / Home Health | 251E00000X | HCO-07312 | Virginia |
| Agencies / Home Health | 251E00000X | HCO-07291 | Virginia |
| Agencies / Home Health | 251E00000X | HCO-07145 | Virginia |
| Agencies / Home Health | 251E00000X | HCO-07142 | Virginia |
| Agencies / Home Health | 251E00000X | IS-355 | Washington |
| Agencies / Home Health | 251E00000X | 044-R-0003 | Georgia |
| Agencies / Home Health | 251E00000X | 121-R-0022 | Georgia |
| Agencies / Home Health | 251E00000X | 025-R-0009 | Georgia |
| Agencies / Home Health | 251E00000X | 003064 | Texas |
| Agencies / Home Health | 251E00000X | 15-2036 | Oregon |
| Agencies / Home Health | 251E00000X | 20609096 | Florida |
Profile Details
| NPI number | 1831249432 |
|---|---|
| LBN Legal business name | Kelly Home Care Services, Inc. |
| DBA Doing business as | Kelly Assisted Living Services, Inc. |
| Authorized official | Womble, Michelle (Shelle) R |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Aug 22nd, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831249432 | NPPES |
| West Virginia | MEDICAID | 0031086000 | |
| West Virginia | Other | 397122 | |
| West Virginia | Other | 112182 | |
| West Virginia | Other | 009213 | |
| West Virginia | Other | 3133 | |
| West Virginia | Other | 013531 | |
| West Virginia | Other | 015027 | |
| West Virginia | Other | 11489 | |
| West Virginia | MEDICAID | 3408499 |
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