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KELLY HOUSE OPERATIONS LLC NPI 1295114205


NPI Information

NPI: 1295114205
Provider Name: KELLY HOUSE OPERATIONS, LLC

Doing Business As: KELLY HOUSE OF MERIDEN NORTH

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 17D2147350

Address:
6313 K4 HWY
MERIDEN, KS
ZIP 66512
Phone: (785) 430-5505
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KELLY HOUSE OPERATIONS, LLC is an assisted living facility in Meriden, KS. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. KELLY HOUSE OPERATIONS, LLC NPI is 1295114205. The provider is registered as an organization entity type.
The provider Is Doing Business As Kelly House Of Meriden North.

The provider's business location address is:

6313 K4 HWY
MERIDEN, KS
ZIP 66512-220
Phone: (785) 430-5505
Fax: (785) 484-2172

The provider's authorized official is Michael D Tryon .
The authorized official title is Cfo and has the following contact phone number (785) 272-1535.

The CLIA number assigned to this NPI record is 17D2147350 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2015 and was last updated on 5/22/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityB044001KANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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