Organization Active NPI

Kellys Health Care Inc

  • Home Health Agency
  • Mission, TX
National Provider Identifier
1124045984
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
004197 Issued in TX
Legal business name
KELLYS HEALTH CARE INC
Practice address
2007 N Conway Ave
Mission, TX 78572-2947
Phone
(956) 519-8118
Fax
(956) 584-8572
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Authorized official

Name
Jaynie Chapa, RN
Title
RN/Administrator
Phone
(956) 519-8118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 004197 TX Primary

Addresses

Primary practice location

2007 N Conway Ave
Mission, TX 78572-2947

Mailing address

2007 N Conway Ave
Mission, TX 78572-2947
Phone (956) 519-8118

Other identifiers 1

IdentifierTypeStateIssuer
025042501MedicaidTX

National Provider Directory

National Provider Directory

Locations

2007 N Conway Ave
Ste C
Mission, TX 78572

2007 N Conway Ave
Mission, TX 78572
Phone (956) 519-8118

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1124045984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 N CONWAY AVE",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722947",
            "telephone_number": "956-519-8118",
            "fax_number": "956-584-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 N CONWAY AVE",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722947",
            "telephone_number": "956-519-8118",
            "fax_number": "956-584-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLYS HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "CHAPA",
        "authorized_official_first_name": "JAYNIE",
        "authorized_official_title_or_position": "RN/ADMINISTRATOR",
        "authorized_official_telephone_number": "956-519-8118",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "004197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025042501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.