Organization Active NPI

Kellie Cares Medical, LLC

  • Non-emergency Medical Transport (VAN)
  • Weston, WI
National Provider Identifier
1558880583
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
KELLIE CARES MEDICAL, LLC
Practice address
4311 Schofield Ave
#97
Weston, WI 54476
Phone
(715) 551-3964
NPI assigned
Sep 11, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Kellie V MC Carthy
Title
Owner
Phone
(715) 551-3964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X WI Primary

Addresses

Primary practice location

4311 Schofield Ave
#97
Weston, WI 54476

Mailing address

4311 Schofield Ave Lot 97
Weston, WI 54476-2777
Phone (715) 551-3964

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1558880583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 SCHOFIELD AVE LOT 97",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544762777",
            "telephone_number": "715-551-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 SCHOFIELD AVE",
            "address_2": "#97",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "54476",
            "telephone_number": "715-551-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLIE CARES MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MC CARTHY",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-551-3964"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.