KELLY SAMPLE NPI 1427646025

NPI Information

  • NPI: 1427646025
  • Provider Name: KELLY SAMPLE
  • Classification: Homemaker - 376J00000X
  • Entity Type: Individual
  • Address: 12065 NICKI LN
    CHARDON, OH
    ZIP 44024
  • Phone: (440) 226-0867

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NPI Details

Kelly Sample is a homemaker in Chardon, OH. The provider is an individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. Kelly Sample NPI is 1427646025. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12065 NICKI LN
CHARDON, OH
ZIP 44024-941
Phone: (440) 226-0867

The enumeration date for this NPI number is 1/8/2021 and was last updated on 1/8/2021.

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
1376J00000XHomemakerYes

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: 11/21/2025

NPI Synchronization or Removal

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