Kellam'S Family Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

FCL-079-094 Issued in NC

Legal business name

KELLAM'S FAMILY CARE

Practice address

109 Roanoke St
Reidsville, NC 27320-3023

Phone

(336) 264-2862

Fax

(336) 342-4473

NPI assigned

Jan 27, 2014

Organization subpart

No

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

Authorized official

Name

Miss Darlene Galloway

Title

Administrator

Phone

(336) 264-2862

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1821411810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2233",
            "address_2": "109 ROANOKE STREET",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273232233",
            "telephone_number": "336-264-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 ROANOKE ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273203023",
            "telephone_number": "336-264-2862",
            "fax_number": "336-342-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLAM'S FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "GALLOWAY",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-264-2862",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "FCL-079-094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyndavi Kandala, MD
• Joelle Kaplan, M.S., CFY-SLP
• Kenneth Samuel Karb, M.D.
• Megan Marie Kaufman, OTR L
• John Wayne Keeling, M.D.
• Kellams Family Care Home LLC
• Kellams Family Care Inc
• Kerr Drug Inc a Delaware Company
• Trina Serena Kidd-Simmons, TRANSPPRTION PROVIDE
• Patricia L. Kish, COF, CFM, CFTS

• Assisted Living Facility in Reidsville, NC
• Providers in Reidsville, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.