Kelli Villanueva

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

574700009 Issued in CA

Practice address

2629 Grambling CT
Davis, CA 95618-2576

Phone

(530) 400-7636

NPI assigned

Mar 6, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• We Care 4 Yolo LLC

  • In Home Supportive Care Agency
  • Winters, CA
  • NPI 1427822261
  NPD (past) Authorized official

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1255899498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4436",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956174436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 GRAMBLING CT",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956182576",
            "telephone_number": "530-400-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "KELLI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "574700009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maura Daniela Velez
• Scott Vermeulen, C.O.
• Julie D. Vice
• Brittany Alexus Villalpando
• Melina Villalpando, PTA
• Mia Christina Villegas
• Gaganjot Virk, OD
• Visse P. Storm,DDS,Inc
• Vive Infusions Nursing, Inc.
• Dennis Thang Vo, DC

• In Home Supportive Care Agency in Davis, CA
• Providers in Davis, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.