Kellie Home Health Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KELLIE HOME HEALTH AGENCY LLC

Practice address

7830 Mistletoe Dr
Elkridge, MD 21075-7331

Phone

(240) 646-2083

NPI assigned

Mar 26, 2019

Organization subpart

No

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

Authorized official

Name

Electa Awanga

Title

Owner

Phone

(240) 646-2083

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1407317282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 MISTLETOE DR",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210757331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 MISTLETOE DR",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210757331",
            "telephone_number": "240-646-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLIE HOME HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Elkridge, MD
• Providers in Elkridge, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.