KELLIE CARES MEDICAL, LLC (NPI# 1558880583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558880583 |
| Entity Type | Organization |
| Organization Name | KELLIE CARES MEDICAL, LLC |
| Practice Address |
4311 Schofield Ave #97 Weston WI 54476 |
| Mailing Address |
4311 Schofield Ave Lot 97 Weston WI 54476-2777 |
| Practice Telephone | (715) 551-3964 |
| Mailing Telephone | 7155513964 |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2017-09-11 |
| Authorized Official Name | KELLIE V MC CARTHY (OWNER) |
| Authorized Official Telephone | 7155513964 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | WI | Transportation Services |
| Street Address |
4311 SCHOFIELD AVE #97 |
| City | WESTON |
| State | WI |
| Zip Code | 54476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406309 | Kelly Hodge | Technician | 118 Marguerite St, Schofield, WI 54476 | 2019-09-13 |
| 1427557529 | Brandon David Parmer | Licensed Practical Nurse | 134 Kurth St, Schofield, WI 54476 | 2018-02-05 |
| 1679018022 | Alexis Legenza | Behavioral Analyst | 4601 Camp Phillips Rd, Weston, WI 54476 | 2016-12-21 |
| 1699176487 | Reenu Mathew | Pharmacist | 5305 U.S. Hwy Business 51, Weston, WI 54476 | 2014-09-11 |
| 1063812246 | Brian Weiland | Psychologist | 2405 Schofield Ave Ste 220, Weston, WI 54476 | 2014-08-25 |
| 1194087759 | Susan C Coady | Physical Therapist | 4605 Valres Springs Court, Weston, WI 54476 | 2012-06-11 |
| 1053437467 | Emmie Jo Kasat | Speech-Language Pathologist | 4605 Valdres Springs Court, Weston, WI 54476 | 2007-03-21 |
| 1326181322 | Lisa Marie Skutak | Dentist | 700 Eagle Nest Boulevard, Suite E, Rothschild, WI 54476 | 2007-02-15 |
| 1205976776 | Quirt Family Dentistry Sc | Dentist | 3417 Schofield Avenue, Schofield, WI 54476 | 2007-02-07 |
| 1376600395 | Elroy David Koskey | Physical Therapist | 4203 Schofield Avenue, Suite 9, Weston, WI 54476 | 2007-01-02 |
| Find all providers in zip 54476 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528526100 | Trips Transportation LLC | Non-emergency Medical Transport (VAN) | 2645 Executive Park Dr # 249, Weston, FL 33331-3624 | 2019-03-03 |
| 1982022828 | Lewis County Senior Citizens Center, Inc. | Non-emergency Medical Transport (VAN) | 171 W 2nd St, Weston, WV 26452-1665 | 2014-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454325 | Richwood Enterprises LLC Dba Richwood Transport | Non-emergency Medical Transport (VAN) | 2564 Branch St Ste B10, Middleton, WI 53562-2850 | 2020-10-13 |
| 1861099897 | Seng Lor | Non-emergency Medical Transport (VAN) | 2303 Moholt Dr, Eau Claire, WI 54703-2460 | 2020-10-02 |
| 1568077022 | Shatona Moore | Non-emergency Medical Transport (VAN) | 5220 N 107th St, Milwaukee, WI 53225-3124 | 2020-09-11 |
| 1700499514 | Mckenzie Lisa Lambeck | Non-emergency Medical Transport (VAN) | 3016a N 36th St, Milwaukee, WI 53210 | 2020-08-31 |
| 1629681663 | Taylor Transport Care LLC | Non-emergency Medical Transport (VAN) | 4433 N 50th St, Milwaukee, WI 53218-5704 | 2020-08-28 |
| 1548878382 | American Phoenix Transportation LLC | Non-emergency Medical Transport (VAN) | 8544 9 Mile Creek Rd, Fall Creek, WI 54742-5306 | 2020-07-17 |
| 1497371041 | Mobility Transport LLC | Non-emergency Medical Transport (VAN) | 7114 W Mill Rd, Milwaukee, WI 53218-1229 | 2020-06-19 |
| 1144856964 | Donnell Marcellus Rushing | Non-emergency Medical Transport (VAN) | 4208 N 52nd St, Milwaukee, WI 53216-1338 | 2020-03-13 |
| 1184259996 | M&l Transportation, LLC | Non-emergency Medical Transport (VAN) | 8700 W Beloit Rd, Milwaukee, WI 53227-3714 | 2020-03-12 |
| 1962037424 | Glory Transportation Services LLC | Non-emergency Medical Transport (VAN) | 8701 W Greenwood Ter, Milwaukee, WI 53224-4019 | 2020-03-05 |
| 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.