KELLI VILLANUEVA


Address: 2629 Grambling Ct, Davis, CA 95618-2576
Phone: 5304007636

KELLI VILLANUEVA (NPI# 1255899498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255899498
Entity Type Individual
Full Name KELLI VILLANUEVA
Practice Address 2629 Grambling Ct
Davis
CA 95618-2576
Mailing Address Po Box 4436
Davis
CA 95617-4436
Practice Telephone 5304007636
Enumeration Date 2019-03-06
Last Update Date 2019-03-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 253Z00000X In Home Supportive Care 574700009 CA Agencies

Office Location

Street Address 2629 GRAMBLING CT
City DAVIS
State CA
Zip Code 95618-2576

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Taxonomy Information

Taxonomy Code 253Z00000X
Grouping Agencies
Classification In Home Supportive Care

Taxonomy Definition

An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new]

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1073112744 Carefree Home Care In Home Supportive Care 850 E Chapman Ave Ste A, Orange, CA 92866-1649 2020-10-22
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Competitor

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City DAVIS
Zip Code 95618

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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