Active NPI
Kelly Home Care Services, Inc.
- Home Health Agency
- Troy, MI
National Provider Identifier
1831249432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 20609096
- Legal business name
- KELLY HOME CARE SERVICES, INC.
- Practice address
- 999 W Big Beaver Rd
Troy, MI 48084-4716 - Phone
- (248) 362-4444
- Fax
- (248) 244-5247
- NPI assigned
- Jan 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Michelle (Shelle) R Womble
- Title
- Business Unit Leader
- Phone
- (248) 244-4917
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC0055 | NC | |
| Home Health Agency | 251E00000X | HC0246 | NC | |
| Home Health Agency | 251E00000X | HC0054 | NC | |
| Home Health Agency | 251E00000X | HC0056 | NC | |
| Home Health Agency | 251E00000X | HCO-07312 | VA | |
| Home Health Agency | 251E00000X | HCO-07291 | VA | |
| Home Health Agency | 251E00000X | HCO-07145 | VA | |
| Home Health Agency | 251E00000X | HCO-07142 | VA | |
| Home Health Agency | 251E00000X | IS-355 | WA | |
| Home Health Agency | 251E00000X | 044-R-0003 | GA | |
| Home Health Agency | 251E00000X | 121-R-0022 | GA | |
| Home Health Agency | 251E00000X | 025-R-0009 | GA | |
| Home Health Agency | 251E00000X | 003064 | TX | |
| Home Health Agency | 251E00000X | 15-2036 | OR | |
| Home Health Agency | 251E00000X | 20609096 | FL | Primary |
Addresses
Primary practice location
999 W Big Beaver Rd
Troy, MI 48084-4716
Mailing address
999 W Big Beaver Rd
Troy, MI 48084-4716
Phone (248) 362-4444
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0031086000 | Medicaid | WV | |
| 397122 | Other | WA | ALTCEW BR.6282 SPOKANE |
| 112182 | Other | OR | KAISER PERMANENTE |
| 009213 | Other | CA | SCAN BR.1481 PASADENA |
| 3133 | Other | VA | CITY OF VA BEACH-LOCAL CO |
| 013531 | Other | CA | SCAN BR.1585 ORANGE CO. |
| 015027 | Other | CA | SCAN BR.1497 CULVER |
| 11489 | Other | PA | CUMBERLAND CO, BR.5180 |
| 3408499 | Medicaid | NC |
Other names 1
- Kelly Assisted Living Services, Inc.
National Provider Directory
National Provider DirectoryLocations
999 W Big Beaver Rd
Troy, MI 48084
Phone (248) 362-4444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1831249432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 W BIG BEAVER RD",
"city": "TROY",
"state": "MI",
"postal_code": "480844716",
"telephone_number": "248-362-4444",
"fax_number": "248-244-5247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 W BIG BEAVER RD",
"city": "TROY",
"state": "MI",
"postal_code": "480844716",
"telephone_number": "248-362-4444",
"fax_number": "248-244-5247"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KELLY HOME CARE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-12",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "WOMBLE",
"authorized_official_first_name": "MICHELLE (SHELLE)",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "BUSINESS UNIT LEADER",
"authorized_official_telephone_number": "248-244-4917",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC0055",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC0246",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC0054",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC0056",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "VA",
"license": "HCO-07312",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "VA",
"license": "HCO-07291",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "VA",
"license": "HCO-07145",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "VA",
"license": "HCO-07142",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "WA",
"license": "IS-355",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "GA",
"license": "044-R-0003",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "GA",
"license": "121-R-0022",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "GA",
"license": "025-R-0009",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "003064",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OR",
"license": "15-2036",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "20609096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0031086000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTCEW BR.6282 SPOKANE",
"identifier": "397122",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER PERMANENTE",
"identifier": "112182",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SCAN BR.1481 PASADENA",
"identifier": "009213",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITY OF VA BEACH-LOCAL CO",
"identifier": "3133",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SCAN BR.1585 ORANGE CO.",
"identifier": "013531",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SCAN BR.1497 CULVER",
"identifier": "015027",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CUMBERLAND CO, BR.5180",
"identifier": "11489",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3408499",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kelly Assisted Living Services, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.