MRS. KELLY MARIE PORTER (NPI# 1639405806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639405806 |
Entity Type | Individual |
Full Name | MRS. KELLY MARIE PORTER |
Practice Address |
525 Harding Ave Nw Massillon OH 44646-3252 |
Practice Telephone | 3307041277 |
Mailing Telephone | 3307041277 |
Enumeration Date | 2009-10-23 |
Last Update Date | 2009-10-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 2973475 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073086633 | Kelly Porter | Occupational Therapist | 625 Walnut St, Mckeesport, PA 15132-2806 | 2019-01-07 |
1841774205 | Kelly Porter | Counselor | 9605 Grand River Ave, Detroit, MI 48204-2139 | 2018-09-21 |
1932655008 | Kelly Porter | Technician, Other | 3231 S Gulley Rd, Dearborn, MI 48124-4407 | 2016-08-29 |
1972919413 | Kelly M Porter | Counselor | 444 Center St, Manchester, CT 06040-3926 | 2014-07-04 |
1700160843 | Kelly Maryann Porter | Dietitian, Registered | 620 Skyline Dr, Jackson, TN 38301-3923 | 2011-10-07 |
1750611810 | Kelly M. Porter | Nurse Practitioner | 3333 Burnet Ave, Ml 2001, Cincinnati, OH 45229-3026 | 2010-01-12 |
1437331873 | Kelly Porter | Physician Assistant | 101 Orchard Dr, Trafford, PA 15085-1640 | 2007-11-28 |
1598946220 | Kelly E. Porter | Chiropractor | 12351 Capital Blvd, Wake Forest, NC 27587-7425 | 2007-11-22 |
Street Address |
525 HARDING AVE NW |
City | MASSILLON |
State | OH |
Zip Code | 44646-3252 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063027498 | Tiarra Q Mccole | Home Health Aide | 879 Walnut Rd Se, Massillon, OH 44646 | 2020-09-11 |
1083268536 | Jenna Peters | Speech-Language Pathologist | 8036 Daytona St Nw, Massillan, OH 44646 | 2019-08-01 |
1063998342 | Erin Lindsay Baters | Nurse Practitioner | 2037 Wales Rd, Suite #110, Massillon, OH 44646 | 2018-07-19 |
1275036261 | Sarah Nichols | Licensed Practical Nurse | 1428 David Dodson Drive, Massillon, OH 44646 | 2018-03-15 |
1295233054 | Ohio Treatment Center, LLC | Clinic/Center | 2520 Wales Ave. Nw, Suite 100, Massillon, OH 44646 | 2018-01-26 |
1861901019 | Mrs Transport Services LLC | Non-emergency Medical Transport (VAN) | 2514 List St Nw, Massillon, OH 44646 | 2017-09-20 |
1386162899 | Brandy Marie Townsend | Home Health | 306 2nd St Sw, Massillon, OH 44646 | 2017-09-05 |
1861875007 | Josiah Wagler | Student in an Organized Health Care Education/Training Program | 875 Eigth Street Ne, Massillon, OH 44646 | 2015-07-07 |
1205215647 | Michelle Avril Burch | Psychologist | 1 Paul E. Brown Drive, Se, Massillon, OH 44646 | 2015-05-19 |
1275940371 | Anthony Tedesco | Orthopaedic Surgery | 875 8th St. Ne, Massillon, OH 44646 | 2014-07-21 |
Find all providers in zip 44646 |
Taxonomy Code | 385HR2060X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730321928 | Midwest Community Services Inc. | Respite Care | 11 Lincoln Way W, Ste. 5a, Massillon, OH 44647-6585 | 2009-04-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306447347 | Tamara Lynn Hershberger | Respite Care | 2291 Stahl Rd, Coventry Township, OH 44319-1321 | 2020-11-05 |
1639770274 | The Genesis Program | Respite Care | 1104 Johnston St, Akron, OH 44305-2414 | 2020-11-02 |
1649870379 | Jeanne Watson | Respite Care | 254 S Oval Dr, Chardon, OH 44024-1462 | 2020-10-30 |
1164021796 | Vida Lynn Martin | Respite Care | 5969 Us Highway 6, Rome, OH 44085-9672 | 2020-10-24 |
1508465527 | Mercer Residential Services | Respite Care | 420 S Sugar St, Celina, OH 45822-2431 | 2020-10-21 |
1386242121 | Brian Francis Chutes | Respite Care | 110 Harmon Ct, Lagrange, OH 44050-9776 | 2020-10-14 |
1750989794 | Sharon Kay Skeriotis | Respite Care | 2285 Briner Ave, Akron, OH 44305-2140 | 2020-10-12 |
1437757671 | Janice Marie Shipman | Respite Care | 15103 S State Ave, Middlefield, OH 44062-9467 | 2020-10-10 |
1144827494 | Ashley Brzozowski | Respite Care | 12310 Zrolka Dr, Huntsburg, OH 44046-9788 | 2020-10-08 |
1649877168 | Kim M. Bolton | Respite Care | 3666 W 159th St, Cleveland, OH 44111-5706 | 2020-10-07 |
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.