KELLY LORENE HEIMDAHL
NPI 1003519323
Case Manager/Care Coordinator in Azusa, CA

Q: What is Kelly Heimdahl's NPI number?

The NPI number for Kelly Heimdahl is 1003519323. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Q: What is Kelly Heimdahl's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Heimdahl was last updated on March 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 24, 2023

23701 E EAST FORK RD, AZUSA, CA 91702(626) 250-3290(626) 910-1380 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kelly Lorene Heimdahl NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY LORENE HEIMDAHL (NPI 1003519323) is an individual case manager/care coordinator provider in Azusa, California and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1003519323

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameKELLY LORENE HEIMDAHL

Location Address23701 E EAST FORK RDAzusa, CA 91702-1477

Mailing Address23701 E East Fork RdAzusa, CA 91702-1477 · (626) 250-3290 · Fax (626) 910-1380

Phone(626) 250-3290

Fax(626) 910-1380

Sole ProprietorYes

Enumeration DateMarch 24, 2023

NPPES CertifiedMarch 24, 2023

✔ NPI 1003519323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

23701 E EAST FORK RD, Azusa, CA 91702

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