Kellys Kare Community Life Skills LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

KELLYS KARE COMMUNITY LIFE SKILLS LLC

Practice address

3311 Colby Rd Ste I
Whitehall, MI 49461-9289

Phone

(231) 894-0433

NPI assigned

Jan 23, 2020

Last updated

Jan 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly GrantNPI 1871958116

Title

Ceo

Phone

(231) 893-3626

Specialties & licenses 1

Addresses

Locations

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.

• Kelly Grant

  • Developmentally Disabled Services Day Training Agency
  • Whitehall, MI
  • NPI 1871958116

  Day Training, Developmentally Disabled Services

  NPD (past) Authorized official

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1306476866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7888 WHITEHALL RD",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494619494",
            "telephone_number": "231-893-3626",
            "fax_number": "231-894-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 COLBY RD STE I",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494619289",
            "telephone_number": "231-894-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLYS KARE COMMUNITY LIFE SKILLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "231-893-3626"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• HPCN (Lakeshore Medical Center)
• HPCN (Lakeshore Medical Center)
• Wayne Stewart Jackson, OD
• Kima Johnson, FNP
• Kelly's Kare Afc
• Joseph Gerard Kerschen, D.O.
• Jennifer J. Koetje, PA
• James Lynn Kolbe, LPC, LLP, FLE
• Melanie R Lahrman, DPT
• Lakeshore Community Hospital Inc. (Lakeshore Medical Center Whitehall)

• Developmentally Disabled Services Day Training Agency in Whitehall, MI
• Providers in Whitehall, MI by specialty
• Developmentally Disabled Services Day Training Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.