Organization Active NPI

Kelly's Adult Day Care Center, Inc.

Doing business as Sharon's Adult Day Center

  • Adult Day Care Clinic/Center
  • Chattanooga, TN
National Provider Identifier
1215163761
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
C-25A Issued in TN
Legal business name
KELLY'S ADULT DAY CARE CENTER, INC.
Doing business as
Sharon's Adult Day Center
Practice address
2000 Raulston St
Chattanooga, TN 37404-1432
Phone
(423) 698-2611
Fax
(423) 698-2911
NPI assigned
Jun 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Ms. Sharon Jo Kelly, RN
Title
Ceo
Phone
(423) 698-2611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X C-25A TN Primary

Addresses

Primary practice location

2000 Raulston St
Chattanooga, TN 37404-1432

Mailing address

2000 Raulston St
Chattanooga, TN 37404-1432
Phone (423) 698-2611

Other practice location 1

5212 N Lee Hwy
Cleveland, TN 37312-4519
Phone (423) 728-5656

Other names 1

  • Sharon's Adult Day Center Doing business as

National Provider Directory

National Provider Directory

Locations

5212 N Lee Hwy
Cleveland, TN 37312
Phone (423) 728-5656

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1215163761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 RAULSTON ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041432",
            "telephone_number": "423-698-2611",
            "fax_number": "423-698-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 RAULSTON ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041432",
            "telephone_number": "423-698-2611",
            "fax_number": "423-698-2911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5212 N Lee Hwy",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373124519",
            "country_code": "US",
            "telephone_number": "423-728-5656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KELLY'S ADULT DAY CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-698-2611",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TN",
            "license": "C-25A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharon's Adult Day Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.