KELLYS CARE 3 – NPI #1043671613
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

KELLYS CARE 3 is a residential treatment facility located in MOORESBORO, NC. NPPES has assigned the NPI number 1043671613 to KELLYS CARE 3 on March 10, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KELLYS CARE 3” is a dba name, the actual legal business name for this organization is KD SUPPORT SERVICES. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KELLYS CARE 3 below.

NPI Profile for
KD SUPPORT SERVICES

NPI Number
1043671613
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KD SUPPORT SERVICES
Doing Business As (dba): KELLYS CARE 3
Primary location
133 KEETER RD.
MOORESBORO, NC 28114
Phone: (828) 286-0596 Fax: (828) 245-4099
Mailing address
158 US HIGHWAY 221A
FOREST CITY, NC 28043-5600
Phone: (828) 245-4011 Fax: (828) 245-4099
Organization Subpart
No
Authorized Official
KENNETH DELLINGER
DIRECTOR OF OPERATIONS
Phone: (828) 245-4011
Updated
Identifiers

Identifiers for KELLYS CARE 3

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNC3418462
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
NC MHL-081-094

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.