Caprice Kellum, RN
Individual provider Active NPI Home Health Agency · Valley Mills, TX
NPI 1659850253 · NPPES record last updated Jun 12, 2019
Key facts
- NPI
- 1659850253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- Practice address
- 201 County Road 3130
Valley Mills, TX 76689-3421 - Phone
- (254) 412-8235
- NPI assigned
- Aug 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Advanced Life Services Home Health LLC | Home Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
201 County Road 3130
Valley Mills, TX 76689-3421
Mailing address
1902 Prosperity TRL
MC Gregor, TX 76657-4076
Phone (254) 412-8235
Other practice location 1
3640 W Waco Dr
Waco, TX 76710-5345
Phone (254) 307-8607
Other providers in Valley Mills, TX
- Bosque Valley Family Dental
- Eagle Creek Therapy Scheduling Services
- Richard Franklin Hansard
- Heartland Social Work Staffing, LLC
- Lisa Hufstedler
- Tonia Lynn Moore
- Jason Cody New
- Mark Alan New Jr.
- Tamilyn Prause
- Valley Mills Nursing and Rehabilitation LP
All providers in Valley Mills, TX · Home Health Agency in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.