Kellmarc Home Health Therapis

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

105294 Issued in TX

Legal business name

KELLMARC HOME HEALTH THERAPIS

Doing business as

kellmarc home health therapis

Practice address

1706 Coles Farm Dr
Sugar Land, TX 77478-4257

Phone

(281) 265-5359

NPI assigned

Mar 21, 2018

Organization subpart

No

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

Authorized official

Name

Kelly Vaudagna, OTR

Title

Owner

Phone

(281) 265-5359

Specialties & licenses 1

Addresses

Other names 1

• kellmarc home health therapis Doing business as

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1467956748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4771 SWEETWATER BLVD # 179",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793121",
            "telephone_number": "281-265-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 COLES FARM DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784257",
            "telephone_number": "281-265-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLMARC HOME HEALTH THERAPIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "VAUDAGNA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-265-5359",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "105294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "kellmarc home health therapis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "kellmarc home health therapis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Demetric Keizer
• Manasi S. Kekan, M.D.
• Amberlyn Keller, M.ED, LPC
• Vierra Keller
• John P. Kelley, MD
• Crystal Denise Kelly, MD
• Grace Nicole Kelly
• Hannah Elizabeth Kelly, PA-C
• Mabel Kokonne Kelly, CCC-SLP
• Scott Andrew Kelly, D.C.

• Home Health Agency in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.