Kelly House Operations LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

B044002 Issued in KS

Legal business name

KELLY HOUSE OPERATIONS LLC

Doing business as

Kelly House of Meriden South

Practice address

3566 62ND St
Meriden, KS 66512-9213

Phone

(785) 430-5500

Fax

(785) 484-2152

NPI assigned

May 20, 2015

Organization subpart

No

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

Authorized official

Name

Michael D Tryon

Title

Cfo

Phone

(785) 272-1535

Specialties & licenses 1

Addresses

Other names 1

• Kelly House of Meriden South Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Kelly House 14 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Kelly House Operations LLC

  dba Kelly House 1

  • Assisted Living Facility
  • Topeka, KS
  • NPI 1841626041
  NPD tax ID
• Kelly House Operations, LLC

  dba Kelly House of Meriden North

  • Assisted Living Facility
  • Meriden, KS
  • NPI 1295114205
  NPD tax ID
• Kelly House Operations, LLC

  dba Kelly House 2

  • Assisted Living Facility
  • Topeka, KS
  • NPI 1730515933
  NPD tax ID

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1427437714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 SW 29TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142107",
            "telephone_number": "785-272-1535",
            "fax_number": "785-272-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3566 62ND ST",
            "city": "MERIDEN",
            "state": "KS",
            "postal_code": "665129213",
            "telephone_number": "785-430-5500",
            "fax_number": "785-484-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY HOUSE OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "TRYON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "785-272-1535"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "B044002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelly House of Meriden South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Molly Ann Freeman, FNP-BC
• FW Huston Pharmacy of Meriden
• Kayla Renee Gardner, LMSW
• Jefferson West Usd340
• Brianna Shae Jones, DC
• Kelly House Operations, LLC (Kelly House of Meriden North)
• Kelly Dawn Kuhn, LCMFT
• Jennifer Lamb, LSCSW
• Ali L Lyons Currie, D.C.
• Meriden Adult Services-Plus, Inc

• Assisted Living Facility in Meriden, KS
• Providers in Meriden, KS by specialty
• Assisted Living Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.