MRS. KELLY MARIE PORTER


Address: 525 Harding Ave Nw, Massillon, OH 44646-3252
Phone: 3307041277

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
OH 2973475 05

Other Providers KELLY PORTER

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

Office Location

Street Address 525 HARDING AVE NW
City MASSILLON
State OH
Zip Code 44646-3252

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 385HR2060X
Grouping Respite Care Facility
Classification Respite Care
Specialization Respite Care, Mental Retardation and/or Developmental Disabilities, Child

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City MASSILLON
Zip Code 44646

Improve Information

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Dataset Information

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.

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