KELLY COLLIER (NPI# 1417583873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417583873 |
| Entity Type | Individual |
| Full Name | KELLY COLLIER |
| Practice Address |
1905 N Monroe St Bloomington IN 47404-2141 |
| Practice Telephone | 8129290428 |
| Mailing Telephone | 8129290428 |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-03-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083114680 | Kelly Collier | Social Worker | 1330 Concord Rd Se Ste 104, Smyrna, GA 30080-4373 | 2018-02-20 |
| 1225488539 | Kelly Collier | Developmental Therapist | 1859 Galway Dr, Belleville, IL 62221-8001 | 2016-06-16 |
| 1700886595 | Kelly Collier | Physician Assistant | 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 | 2005-07-22 |
| 1982990305 | Kelly R Collier | Physical Therapist | 2240 5th Ave, Huntington, WV 25703-1290 | 2011-06-23 |
| 1396935664 | Kelly Collier | Occupational Therapist | 1238 E Chandler Blvd, Suite 103, Phoenix, AZ 85048-4601 | 2007-08-01 |
| Street Address |
1905 N MONROE ST |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47404-2141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092512 | Givingback3 | Home Health | 1905 N Monroe St, Bloomington, IN 47404-2141 | 2020-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526631 | Sandra Clark | Counselor | 205 N College Avenue, Suite 210a, Bloomington, IN 47404 | 2020-07-29 |
| 1750926085 | Michelle Christine Dustin | Nurse Practitioner | 610 N Morton Street, Bloomigton, IN 47404 | 2019-11-11 |
| 1316440191 | Julie D'argent | Psychologist | 205 N College Ave Ste 430, Bloomington, IN 47404 | 2018-03-17 |
| 1770966467 | Richard Lawson | Counselor | 1117 North Jackson Street, Bloomington, IN 47404 | 2015-06-30 |
| 1477952109 | Teresa R. Foster | Social Worker | 205 N. College Avenue, Suite 210b, Bloomington, IN 47404 | 2014-08-19 |
| 1073879532 | First Health Plus, Inc | Clinic/Center | 104 North Curry Pike, Bloomington, IN 47404 | 2012-04-09 |
| 1497079982 | Tera Dee Nance | Counselor | 101 W. Kirkwood Avenue, Suite 009 Fountain Square Mall, Bloomington, IN 47404 | 2010-03-26 |
| 1962643114 | Pathways Counseling Center | Community/Behavioral Health | 3866 W. Third Street, Bloomington, IN 47404 | 2009-03-18 |
| 1932358595 | Catherine Elizabeth Batka | Psychologist | 101 W. Kirkwood Ave, Suite 103, Bloomington, IN 47404 | 2008-09-18 |
| 1396901005 | Kijin Woo | Dentist | 330 N Jacob Drive, Bloomington, IN 47404 | 2008-08-01 |
| Find all providers in zip 47404 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326942 | Shakur Abdisalam | Home Health | 1440 E Old Shakopee Rd, Bloomington, MN 55425-2438 | 2020-11-06 |
| 1740801323 | Suburban Home Health Care Agency, LLC | Home Health | 9400 Old Cedar Ave S Apt 135, Bloomington, MN 55425-2424 | 2020-05-05 |
| 1942848296 | Unlimited Home Health Care | Home Health | 8112 Wentworth Ave S, Bloomington, MN 55420-1109 | 2019-12-17 |
| 1720624810 | Sunshine Assisted Living Services LLC | Home Health | 9540 Columbus Ave S, Bloomington, MN 55420 | 2019-11-23 |
| 1952857005 | Polaris Home Health Care Inc | Home Health | 8609 Lyndale Ave S Ste 213c, Bloomington, MN 55420-2769 | 2016-08-29 |
| 1831596345 | Priority Homes LLC | Home Health | 1713 W 85th St, Bloomington, MN 55431-1751 | 2014-11-26 |
| 1255736583 | Estherra Care LLC | Home Health | 7437 Bristol Village Curv, Bloomington, MN 55438-2565 | 2014-10-29 |
| 1578902250 | Promise Care, Inc | Home Health | 7900 International Drive, Suite 300, Bloomington, MN 55425 | 2013-06-17 |
| 1164769790 | Hands At Home, LLC | Home Health | 7110 S Leisure Ln, Bloomington, IN 47401-9090 | 2013-01-16 |
| 1093051690 | Welcome Home Residential Care, LLC | Home Health | 8466 Kell Ave S, Bloomington, MN 55437-1502 | 2012-12-31 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47404 |
Please comment or provide details below to improve the information on KELLY COLLIER.
| 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.