Kelly, Emma

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6905766 Issued in FL

Legal business name

KELLY, EMMA

Practice address

509 Calhoun Ave
Seffner, FL 33584-3614

Phone

(813) 571-2235

Fax

(813) 571-2235

NPI assigned

Aug 22, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Emma Lee Kelly

Title

Owner

Phone

(813) 571-2235

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1598199853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 CALHOUN AVE",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335843614",
            "telephone_number": "813-571-2235",
            "fax_number": "813-571-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 CALHOUN AVE",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335843614",
            "telephone_number": "813-571-2235",
            "fax_number": "813-571-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY, EMMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "EMMA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-571-2235",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6905766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142382700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tony L Jones Jr., PTA
• Joseph Monteleone LLC
• Joyful Florida Corp
• David Michael Keegan, RPH
• Diana Kelly, ARNP
• Nikkia Kline, LMHC
• Kurt K. Weber, D.D.S., P.a.
• Reena Kuruvilla
• Tamara Labossiere Crowe
• Janet Lara Cabrera

• Adult Care Home Facility in Seffner, FL
• Providers in Seffner, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.