NPIMap

Organization Active NPI

K D Support Services / Kelly's Care

  • Community/Behavioral Health Agency
  • Forest City, NC
National Provider Identifier
1821129362
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
K D SUPPORT SERVICES / KELLY'S CARE
Practice address
158 US Highway 221a
Forest City, NC 28043
Phone
(828) 245-4011
Fax
(828) 245-4099
NPI assigned
Mar 8, 2007
Last updated
Oct 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Authorized official

Name
Ken Dellinger, BS;QP
Title
Director of Operations
Phone
(828) 245-4011

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Mental Illness Community Based Residential Treatment Facility 320800000X
Psychiatric Residential Treatment Facility 323P00000X
Non-emergency Medical Transport (VAN) 343900000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

158 US Highway 221a
Forest City, NC 28043

Mailing address

467 W Main St
Forest City, NC 28043-2920
Phone (828) 245-4011

Other practice location 1

126 Pine St
Forest City, NC 28043-4587
Phone (828) 245-2540

Other practice location 2

2073 Harris Henrietta Rd
Mooresboro, NC 28114-8233
Phone (828) 657-4757

Other practice location 3

133 Keeter Rd
Mooresboro, NC 28114-9681
Phone (828) 286-0596

Other practice location 4

1998 Harris Henrietta Rd
Mooresboro, NC 28114-8209
Phone (828) 748-9588

Other practice location 5

521 Oscar Justice Rd
Rutherfordton, NC 28139-8114
Phone (828) 287-2630

Other practice location 6

487 W Main St
Forest City, NC 28043-2920
Phone (828) 748-7607

Other practice location 7

156 US Highway 221A
Forest City, NC 28043-5600
Phone (828) 245-8223

Other practice location 8

1366 Coopers Gap Rd
Rutherfordton, NC 28139-8661
Phone (828) 286-4044

Other practice location 9

158 US Highway 221A
Forest City, NC 28043
Phone (828) 245-4011

Other practice location 10

467 W Main St
Forest City, NC 28043-2920
Phone (828) 245-4011

National Provider Directory

National Provider Directory
Tax ID family
KD Support Services9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

487 W Main St
Forest City, NC 28043
Phone (828) 748-7607

521 Oscar Justice Rd
Rutherfordton, NC 28139
Phone (828) 287-2630

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1821129362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 W MAIN ST",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280432920",
            "telephone_number": "828-245-4011",
            "fax_number": "828-245-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 US HIGHWAY 221A",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "28043",
            "telephone_number": "828-245-4011",
            "fax_number": "828-245-4099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 Pine St",
            "address_purpose": "LOCATION",
            "city": "Forest City",
            "state": "NC",
            "postal_code": "280434587",
            "country_code": "US",
            "telephone_number": "828-245-2540",
            "fax_number": "828-245-4099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2073 Harris Henrietta Rd",
            "address_purpose": "LOCATION",
            "city": "Mooresboro",
            "state": "NC",
            "postal_code": "281148233",
            "country_code": "US",
            "telephone_number": "828-657-4757",
            "fax_number": "828-245-4099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 Keeter Rd",
            "address_purpose": "LOCATION",
            "city": "Mooresboro",
            "state": "NC",
            "postal_code": "281149681",
            "country_code": "US",
            "telephone_number": "828-286-0596",
            "fax_number": "828-245-4099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1998 Harris Henrietta Rd",
            "address_purpose": "LOCATION",
            "city": "Mooresboro",
            "state": "NC",
            "postal_code": "281148209",
            "country_code": "US",
            "telephone_number": "828-748-9588",
            "fax_number": "828-245-4099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "521 Oscar Justice Rd",
            "address_purpose": "LOCATION",
            "city": "Rutherfordton",
            "state": "NC",
            "postal_code": "281398114",
            "country_code": "US",
            "telephone_number": "828-287-2630",
            "fax_number": "828-245-4099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "487 W Main St",
            "address_purpose": "LOCATION",
            "city": "Forest City",
            "state": "NC",
            "postal_code": "280432920",
            "country_code": "US",
            "telephone_number": "828-748-7607",
            "fax_number": "828-245-4099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "156 US Highway 221A",
            "address_purpose": "LOCATION",
            "city": "Forest City",
            "state": "NC",
            "postal_code": "280435600",
            "country_code": "US",
            "telephone_number": "828-245-8223",
            "fax_number": "828-245-4099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1366 Coopers Gap Rd",
            "address_purpose": "LOCATION",
            "city": "Rutherfordton",
            "state": "NC",
            "postal_code": "281398661",
            "country_code": "US",
            "telephone_number": "828-286-4044",
            "fax_number": "828-245-4099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "158 US Highway 221A",
            "address_purpose": "LOCATION",
            "city": "Forest City",
            "state": "NC",
            "postal_code": "28043",
            "country_code": "US",
            "telephone_number": "828-245-4011",
            "fax_number": "828-245-4099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "467 W Main St",
            "address_purpose": "LOCATION",
            "city": "Forest City",
            "state": "NC",
            "postal_code": "280432920",
            "country_code": "US",
            "telephone_number": "828-245-4011",
            "fax_number": "828-245-4099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "K D SUPPORT SERVICES / KELLY'S CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "DELLINGER",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "828-245-4011",
        "authorized_official_credential": "BS;QP"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.