KELLY MICHELLE GROSS (NPI# 1619580131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619580131 |
| Entity Type | Individual |
| Full Name | KELLY MICHELLE GROSS |
| Practice Address |
514 County Road 39 Bloomingdale OH 43910-7955 |
| Mailing Address |
742 County Road 39 Bloomingdale OH 43910-7955 |
| Practice Telephone | 7409441218 |
| Mailing Telephone | 7403814850 |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720543192 | Kelly Ann Gross | Dental Hygienist | 6001 Walden Dr, Knoxville, TN 37919-6355 | 2019-02-09 |
| 1487141172 | Kelly Gross | Social Worker | 1229 Lincoln Hwy, Van Wert, OH 45891-1877 | 2018-04-18 |
| 1487104568 | Kelly Gross | Nurse Practitioner | 3400 Spruce St, 5 Rhoads, Philadelphia, PA 19104-4238 | 2016-10-12 |
| 1740537778 | Kelly Gross | Specialist | 127 Bloomingrove Dr, Troy, NY 12180-8404 | 2012-08-09 |
| Street Address |
514 COUNTY ROAD 39 |
| City | BLOOMINGDALE |
| State | OH |
| Zip Code | 43910-7955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972806644 | Timothy W Mitchell | Physical Therapist | 2320 County Road 25, Bloomindale, OH 43910 | 2010-12-17 |
| 1558421735 | Bloomingdale Volunteer Fire Dept | Ambulance | 103 Cadiz Street, Bloomingdale, OH 43910 | 2006-12-11 |
| 1649280025 | Unionport Volunteer Fire & Rescue, Inc. | Ambulance | 3619 Co. Highway 39, Bloomingdale, OH 43910 | 2006-08-09 |
| 1598854382 | Belvedere Volunteer Fire Department, Inc | Ambulance | 92 Janet Dr, Bloomingdale, OH 43910-7700 | 2006-10-12 |
| 1619424009 | Kelly Crosby | Physical Therapist | 498 Della Dr, Bloomingdale, OH 43910-7727 | 2016-09-02 |
| 1578045035 | Joshua Douglas Kleiner | Specialist/Technologist | 31 Lynnwood Ave, Bloomingdale, OH 43910-7842 | 2018-08-31 |
| 1265704084 | Carianne A Nice | Registered Nurse | 20 Township Highway 204, Bloomingdale, OH 43910-7862 | 2012-02-09 |
| 1003148529 | Sara Stewart | Student in an Organized Health Care Education/Training Program | 121 High St, Bloomingdale, OH 43910-7994 | 2010-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1699389890 | J2sb LLC | Pharmacy | 398 W Army Trail Rd Ste 120, Bloomingdale, IL 60108-2398 | 2020-09-04 |
| 1366056731 | Morgan Proctor | Physical Medicine & Rehabilitation | West Suburban Nursing and Rehabilitation, 311 Edgewater Drive, Bloomingdale, IL 60108 | 2020-09-03 |
| 1316559156 | Jennifer Anne Hillberry | Counselor | 311 Coconut Dr, Bloomingdale, GA 31302-8138 | 2020-08-22 |
| 1639788136 | Walker Health and Wellness LLC | Clinic/Center | 111 Bradford Dr, Bloomingdale, GA 31302-4926 | 2020-07-30 |
| 1699383075 | Krishan Nadarajah | Chiropractor | 107 W Lake St Ste 103, Bloomingdale, IL 60108-1027 | 2020-07-21 |
| 1407473663 | Champion Chiropractic PC | Clinic/Center | 148 S Bloomingdale Rd Ste 107e, Bloomingdale, IL 60108-1491 | 2020-07-02 |
| 1780209122 | Luke Capone | Chiropractor | 360 W Schick Rd, Bloomingdale, IL 60108-2965 | 2020-06-11 |
| 1881219418 | Musa Ayyad | Chiropractor | 186 Swallow Ave, Bloomingdale, IL 60108-1369 | 2020-06-09 |
| 1265057897 | Filomena Ottolino | Behavior Technician | 248 Biscayne St, Bloomingdale, IL 60108-3311 | 2020-06-09 |
| Find all providers in BLOOMINGDALE | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396156717 | Cambodian Association of Illinois | In Home Supportive Care | 123 E Lake St Ste 204, Bloomingdale, IL 60108-1100 | 2014-05-20 |
| 1205170164 | 733 Beach Walk, Inc. | In Home Supportive Care | 113 Fairfield Way, Suite 106c, Bloomingdale, IL 60108-1587 | 2012-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366387 | Yvonne Zachery | In Home Supportive Care | 2830 Lacresta Dr., Beavercreek, OH 45431-8909 | 2020-11-06 |
| 1548861453 | Mary Diane Miller | In Home Supportive Care | 16850 Highland Ave, Caldwell, OH 43724-9655 | 2020-11-06 |
| 1366043143 | Susan Ann Williams | In Home Supportive Care | 3730 Bean Oller Rd, Delaware, OH 43015-9283 | 2020-11-06 |
| 1619578796 | Cindy Jo Alwine | In Home Supportive Care | 452 Woodland Dr, Shadyside, OH 43947-1199 | 2020-11-04 |
| 1194326272 | Margaret Engelhard | In Home Supportive Care | 8773 Creekwood Dr, Maineville, OH 45039-8206 | 2020-11-04 |
| 1154922532 | Rita Ann Beck | In Home Supportive Care | 212 Harbel Dr, Saint Clairsville, OH 43950-1043 | 2020-11-03 |
| 1588265888 | Michelle Yvonne Low | In Home Supportive Care | 774 Humble Rd, Tallmadge, OH 44278-3133 | 2020-11-03 |
| 1740881002 | Laurie Ann Galownia | In Home Supportive Care | 146 N Sugar St, Saint Clairsville, OH 43950-1328 | 2020-11-03 |
| 1649871096 | Martha Jane Nix | In Home Supportive Care | 464 Oxford Ave, Akron, OH 44310-3354 | 2020-11-03 |
| 1316548829 | Raquel Covington | In Home Supportive Care | 1629 Greenlawn Ave, Akron, OH 44301-2743 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGDALE |
| Zip Code | 43910 |
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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.