Kelly House Operations LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

N089033 Issued in KS

Legal business name

KELLY HOUSE OPERATIONS LLC

Practice address

2111 SW Randolph Ave
Topeka, KS 66611-1547

Phone

(785) 234-8888

Fax

(785) 234-0885

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 1 Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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
  • Meriden, KS
  • NPI 1295114205
  NPD tax ID
• Kelly House Operations, LLC

  • Assisted Living Facility
  • Topeka, KS
  • NPI 1730515933
  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": "1841626041",
    "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": "2111 SW RANDOLPH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666111547",
            "telephone_number": "785-234-8888",
            "fax_number": "785-234-0885"
        }
    ],
    "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": "N089033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100022540B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelly House 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lorraine Carol Kelley, NNP-BC
• 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

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.