K D SUPPORT SERVICES / KELLY'S CARE (NPI# 1821129362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821129362 |
| Entity Type | Organization |
| Organization Name | K D SUPPORT SERVICES / KELLY'S CARE |
| Practice Address |
158 Us Highway 221a Forest City NC 28043 |
| Mailing Address |
467 W Main St Forest City NC 28043-2920 |
| Practice Telephone | 8282454011 |
| Practice Fax Number | 8282454099 |
| Mailing Telephone | 8282454011 |
| Mailing Fax Number | 8282454099 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2019-10-09 |
| Authorized Official Name | KEN DELLINGER (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8282454011 |
| Authorized Official Credential | BS;QP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 126 Pine St, Forest City, NC 280434587 | 8282452540 | 8282454099 |
| 133 Keeter Rd, Mooresboro, NC 281149681 | 8282860596 | 8282454099 |
| 1366 Coopers Gap Rd, Rutherfordton, NC 281398661 | 8282864044 | 8282454099 |
| 156 Us Highway 221a, Forest City, NC 280435600 | 8282458223 | 8282454099 |
| 158 Us Highway 221a, Forest City, NC 28043 | 8282454011 | 8282454099 |
| 1998 Harris Henrietta Rd, Mooresboro, NC 281148209 | 8287489588 | 8282454099 |
| 2073 Harris Henrietta Rd, Mooresboro, NC 281148233 | 8286574757 | 8282454099 |
| 467 W Main St, Forest City, NC 280432920 | 8282454011 | 8282454099 |
| 487 W Main St, Forest City, NC 280432920 | 8287487607 | 8282454099 |
| 521 Oscar Justice Rd, Rutherfordton, NC 281398114 | 8282872630 | 8282454099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306205398 | K D Support Services / Kelly's Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 158 Us Highway 221a, Forest City, NC 28043-5600 | 2016-02-18 |
| Street Address |
158 US HIGHWAY 221A |
| City | FOREST CITY |
| State | NC |
| Zip Code | 28043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306205398 | K D Support Services / Kelly's Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 158 Us Highway 221a, Forest City, NC 28043-5600 | 2016-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528475530 | Lori Hammond West | Pharmacist | 139 East Main St, Forest City, NC 28043 | 2014-07-22 |
| 1982989943 | Hope Care Center, Inc. | Assisted Living Facility | 136 Yelton's Circle, Forest City, NC 28043 | 2011-10-20 |
| 1770804643 | Brandi R Holtsclaw | Physical Therapist | 2270 Us Hwy 74a Suite 341, Onesource Rehab, Forest City, NC 28043 | 2010-06-15 |
| 1093944217 | New Start of The Piedmont Inc. | Community/Behavioral Health | 331 South. Broadway Street., Forest City, NC 28043 | 2009-07-09 |
| 1568690493 | Directcare Community Based Services, LLC | Community/Behavioral Health | 129 First Street, Forest City, NC 28043 | 2009-06-30 |
| 1760663058 | Americare Developmental Services | Residential Treatment Facility, Emotionally Disturbed Children | 313 Harrill Rd, Forest City, NC 28043 | 2007-11-15 |
| 1255529038 | Respiratory At Home Plus, Corp. | Durable Medical Equipment & Medical Supplies | 338 Withrow Road, Suite D, Forest City, NC 28043 | 2007-10-05 |
| 1407986714 | Americas Living Centers LLC | Custodial Care Facility | 128 Country Meadows Lane, Forest City, NC 28043 | 2007-03-06 |
| 1821157256 | Hopewell Care Inc. | Assisted Living Facility | 141 Fox Run, Forest City, NC 28043 | 2006-12-08 |
| 1689770133 | Carolina Chiropractic Plus of Rutherford County Inc. | Chiropractor | 152 West Main St, Forest City, NC 28043 | 2006-09-15 |
| Find all providers in zip 28043 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487217097 | Family Preservation Services of Nc, LLC-roc | Community/Behavioral Health | 140 Old Caroleen Rd, Forest City, NC 28043-3749 | 2019-04-18 |
| 1629427802 | Family Preservation Services of North Carolina, LLC | Community/Behavioral Health | 286 Learning Pkwy, Forest City, NC 28043-7504 | 2016-06-08 |
| 1255714333 | Turning Point Services, Inc. | Community/Behavioral Health | 284 W Main St, Forest City, NC 28043-3025 | 2015-07-07 |
| 1417282765 | Monarch | Community/Behavioral Health | 188 Parkland Dr, Forest City, NC 28043-2947 | 2009-10-05 |
| 1093944217 | New Start of The Piedmont Inc. | Community/Behavioral Health | 331 South. Broadway Street., Forest City, NC 28043 | 2009-07-09 |
| 1568690493 | Directcare Community Based Services, LLC | Community/Behavioral Health | 129 First Street, Forest City, NC 28043 | 2009-06-30 |
| 1386871119 | Monarch | Community/Behavioral Health | 175 W Main Dr, Forest City, NC 28043-2832 | 2009-06-19 |
| 1871720557 | Monarch | Community/Behavioral Health | 132 Bellview St, Forest City, NC 28043-2813 | 2009-06-19 |
| 1235372210 | Cnc Access Inc | Community/Behavioral Health | 127 N Powell St, Suite 102, Forest City, NC 28043-3190 | 2009-04-07 |
| 1306042007 | Rha Health Services Inc | Community/Behavioral Health | 668 Withrow Rd, Forest City, NC 28043-9695 | 2007-06-21 |
| Find all providers in FOREST CITY | ||||
| City | FOREST CITY |
| Zip Code | 28043 |
Please comment or provide details below to improve the information on K D SUPPORT SERVICES / KELLY'S CARE.
| 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.