KELLYS KARE COMMUNITY LIFE SKILLS LLC (NPI# 1306476866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306476866 |
| Entity Type | Organization |
| Organization Name | KELLYS KARE COMMUNITY LIFE SKILLS LLC |
| Practice Address |
3311 Colby Rd Ste I Whitehall MI 49461-9289 |
| Mailing Address |
7888 Whitehall Rd Whitehall MI 49461-9494 |
| Practice Telephone | 2318940433 |
| Mailing Telephone | 2318933626 |
| Mailing Fax Number | 2318948646 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |
| Authorized Official Name | KELLY GRANT (CEO) |
| Authorized Official Telephone | 2318933626 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
3311 COLBY RD STE I |
| City | WHITEHALL |
| State | MI |
| Zip Code | 49461-9289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871958116 | Kelly Grant | Day Training, Developmentally Disabled Services | 3311 Colby Rd Ste I, Whitehall, MI 49461-9289 | 2015-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720527955 | Wal-mart Stores East, Lp | Technician/Technologist | 2755 W Holton-whitehall Rd, Whitehall, MI 49461 | 2017-02-21 |
| 1720367055 | Jacob Marshall Taylor | Family Medicine | 905 E Colby St Ste 100, Whitehall, MI 49461 | 2011-08-04 |
| 1700982865 | Brent Richard Beacom | Chiropractor | 923 Colby Rd, Whitehall, MI 49461 | 2006-09-16 |
| 1760592539 | Preston Teval Bown | Dentist | 504 E Colby St, Whitchall, MI 49461 | 2006-08-30 |
| 1801821301 | Helena Maria Beacom | Chiropractor | 923 E Colby Rd, Beacom Family Chiropractic, Whitehall, MI 49461 | 2006-07-12 |
| 1992997647 | Matthew John Roberge | Family Medicine | 905 E Colby St, Whitehall, MI 49461 | 2007-08-16 |
| 1710013040 | Ronald A Lehman | Dentist | 116 W Colby St, Suite 1, Whitehall, MI 49461 | 2007-02-23 |
| 1073619136 | Beacom Family Chiropractic Wellness | Chiropractor | 923 Colby Rd, Whitehall, MI 49461 | 2006-09-16 |
| 1821037268 | Matthew Allen Tripp | Physician Assistant | 905 E Colby St, Whitehall, MI 49461 | 2006-06-04 |
| 1104817980 | Joseph Gerard Kerschen | Family Medicine | 905 E Colby St, Whitehall, MI 49461 | 2005-11-02 |
| Find all providers in zip 49461 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003264219 | Maria Lopez | Day Training, Developmentally Disabled Services | 3969 Beechbank Rd, Whitehall, OH 43213-2338 | 2016-05-27 |
| 1871958116 | Kelly Grant | Day Training, Developmentally Disabled Services | 3311 Colby Rd Ste I, Whitehall, MI 49461-9289 | 2015-12-30 |
| 1407196967 | Central Ohio Supportive Care Services, LLC | Day Training, Developmentally Disabled Services | 921 Robinwood Ave, Suite E, Whitehall, OH 43213-6706 | 2013-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696107 | Novus Living | Day Training, Developmentally Disabled Services | 7860 Wayne Rd, Romulus, MI 48174-1668 | 2020-07-21 |
| 1942850391 | Full Circle Care, LLC | Day Training, Developmentally Disabled Services | 5040 Cascade Rd Se, Grand Rapids, MI 49546-3725 | 2019-09-18 |
| 1649733635 | Dutton Farm, Inc | Day Training, Developmentally Disabled Services | 2290 Dutton Rd, Rochester Hills, MI 48306-2332 | 2019-04-08 |
| 1902360530 | Skill and Ability Education | Day Training, Developmentally Disabled Services | 4523 Connor Ct, Ypsilanti, MI 48197-9229 | 2019-01-28 |
| 1518437243 | Asd Smart Kids | Day Training, Developmentally Disabled Services | 337 Sylvan Drive, Canton, MI 48188-4818 | 2018-11-26 |
| 1316416258 | Sandra Marie Delaney | Day Training, Developmentally Disabled Services | 18640 E. 14 Mile, A5, Fraser, MI 48026 | 2018-11-21 |
| 1447731179 | Tony Edward Rice | Day Training, Developmentally Disabled Services | 21043 Bauman Rd, Battle Creek, MI 49017-8413 | 2018-08-21 |
| 1821590696 | Rise All Lives Matter | Day Training, Developmentally Disabled Services | 100 W Ferry St, Berrien Springs, MI 49103-1194 | 2018-03-07 |
| 1467976100 | Champions Forever, LLC | Day Training, Developmentally Disabled Services | 25750 Lahser Rd Ste 210, Southfield, MI 48033-5809 | 2017-08-02 |
| 1821527359 | James Harper | Day Training, Developmentally Disabled Services | 1364 Alexander Dr., Traverse City, MI 49696 | 2017-06-08 |
| Find all providers with the same taxonomy | ||||
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| 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.