Keliz Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KELIZ INC

Practice address

85 S Bragg St # 401
Alexandria, VA 22312-2797

Phone

(703) 814-5106

Fax

(703) 348-6140

NPI assigned

Feb 8, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Octavie Bongam-Sikod

Title

Director

Phone

(703) 814-5106

Specialties & licenses 1

Addresses

Other names 1

• Keliz Health Services Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evangeline Chinwe Gaines

  • Licensed Practical Nurse
  • Alexandria, VA
  • NPI 1114537305
  NPD (past)
• Cecilia Isiegeh Tem

  • Home Health Aide
  • Alexandria, VA
  • NPI 1194570531
  NPD (past)
• Spora Endam Mbanwei

  • Behavior Technician
  • Alexandria, VA
  • NPI 1992579668
  NPD (past)
• Franck Cesar Tabet Iowa

  • Home Health Aide
  • Alexandria, VA
  • NPI 1225700420
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1063977403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 S BRAGG ST # 401",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122797",
            "telephone_number": "703-814-5106",
            "fax_number": "703-348-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 S BRAGG ST # 401",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122797",
            "telephone_number": "703-814-5106",
            "fax_number": "703-348-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELIZ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "BONGAM-SIKOD",
        "authorized_official_first_name": "OCTAVIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-814-5106"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keliz Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lataya A Keene, MD
• Keiliyah Home Health Care LLC
• Keiliyah Medical Supplies LLC
• Keith a. Kaufman, PH.D., PLLC
• Latisha Keith
• Janna J Kelleher, MD
• Lisa Kelleher, PLPC
• Finnegan Keller
• Leslie Keller
• Amanda Kelley, OTR/L

• Home Health Agency in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.