Kelly House Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

N089034 Issued in KS

Legal business name

KELLY HOUSE OPERATIONS, LLC

Practice address

1800 SW Fairmont Rd
Topeka, KS 66604-3699

Phone

(785) 271-9594

Fax

(785) 271-6638

NPI assigned

Sep 19, 2013

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 identifiers 1

Other names 1

• Kelly House 2 Doing business as

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

  • Assisted Living Facility
  • Meriden, KS
  • NPI 1427437714
  NPD tax ID
• Kelly House Operations LLC

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

  • Assisted Living Facility
  • Meriden, KS
  • NPI 1295114205
  NPD tax ID

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1730515933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 SW 29TH ST STE 200",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666142164",
            "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": "1800 SW FAIRMONT RD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666043699",
            "telephone_number": "785-271-9594",
            "fax_number": "785-271-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY HOUSE OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "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": "N089034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100274660A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelly House 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina A Kellim
• Gwen L Kellogg, PT
• Kelly B Deeter, DDS, CHTD
• Kelly House
• Kelly House Operations LLC
• Ashley B Kelly
• Dana Kelly
• Hailey Kelly, APRN
• Kay Ann Kelly, LSCSW
• Kellian R Kelly, APRN, FNP-C

• Assisted Living Facility in Topeka, KS
• Providers in Topeka, 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 Sep 19, 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.