NPIMap

Organization Active NPI

Kellie Home Health LLC

  • Home Health Agency
  • Elkridge, MD
National Provider Identifier
1255961330
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KELLIE HOME HEALTH LLC
Practice address
7830 Mistletoe Dr Apt 294
Elkridge, MD 21075-7334
Phone
(240) 646-2083
NPI assigned
Jan 17, 2020
Last updated
Jan 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Authorized official

Name
Electa AwangaNPI 1598255614
Title
Owner
Phone
(240) 646-2083

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

7830 Mistletoe Dr Apt 294
Elkridge, MD 21075-7334

Mailing address

7830 Mistletoe Dr Apt 294
Elkridge, MD 21075-7334

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1255961330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 MISTLETOE DR APT 294",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210757334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 MISTLETOE DR APT 294",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210757334",
            "telephone_number": "240-646-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLIE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "AWANGA",
        "authorized_official_first_name": "ELECTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-646-2083"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.