Active NPI
Kelly Elderly Home Care, Inc.
- Assisted Living Facility
- Miami, FL
National Provider Identifier
1295965366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 11091
- Legal business name
- KELLY ELDERLY HOME CARE, INC.
- Practice address
- 16521 SW 144TH CT
Miami, FL 33177-1772 - Phone
- (786) 573-5253
- NPI assigned
- Jul 22, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Rachel K Gonzalez
- Title
- President
- Phone
- (786) 573-5253
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 11091 | FL | Primary |
Addresses
Primary practice location
16521 SW 144TH CT
Miami, FL 33177-1772
Mailing address
16521 SW 144TH CT
Miami, FL 33177-1772
Phone (786) 573-5253
Other names 1
- KELLY SON'S ELDERLY HOME CARE
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248220800000",
"number": "1295965366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16521 SW 144TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331771772",
"telephone_number": "786-573-5253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16521 SW 144TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331771772",
"telephone_number": "786-573-5253"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KELLY ELDERLY HOME CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-22",
"last_updated": "2009-07-22",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "RACHEL",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-573-5253",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "FL",
"license": "11091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "KELLY SON'S ELDERLY HOME CARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.