Organization Active NPI

Kelli Care Homemaker and Companion Services

  • In Home Supportive Care Agency
  • Tampa, FL
National Provider Identifier
1386473577
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KELLI CARE HOMEMAKER AND COMPANION SERVICES
Practice address
10303 Riverburn Dr
Tampa, FL 33647-3164
Phone
(813) 455-4683
Fax
(813) 200-2446
NPI assigned
Jul 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Mrs. Kelli Nira Miller, RNNPI 1164158986
Title
Administrator/Owner
Phone
(813) 952-8701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

10303 Riverburn Dr
Tampa, FL 33647-3164

Mailing address

10303 Riverburn Dr
Tampa, FL 33647-3164
Phone (813) 455-4683

Other names 1

  • Kelli Care Tampa Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1386473577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10303 RIVERBURN DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473164",
            "telephone_number": "813-455-4683",
            "fax_number": "813-200-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10303 RIVERBURN DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473164",
            "telephone_number": "813-455-4683",
            "fax_number": "813-200-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLI CARE HOMEMAKER AND COMPANION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "NIRA",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "813-952-8701",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelli Care Tampa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.