Organization Active NPI

Kellez Care Providers LLC

  • In Home Supportive Care Agency
  • East Stroudsburg, PA
National Provider Identifier
1376339002
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KELLEZ CARE PROVIDERS LLC
Practice address
309 Frisco CT
East Stroudsburg, PA 18301-8614
Phone
(347) 806-4744
NPI assigned
Apr 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Authorized official

Name
Tisheena Kelly
Title
President
Phone
(347) 806-4744

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

309 Frisco CT
East Stroudsburg, PA 18301-8614

Mailing address

309 Frisco CT
East Stroudsburg, PA 18301-8614
Phone (347) 806-4744

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1376339002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 FRISCO CT",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018614",
            "telephone_number": "347-806-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 FRISCO CT",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018614",
            "telephone_number": "347-806-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEZ CARE PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "TISHEENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-806-4744"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.