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MRS. KIMBERLY RENEE' CARROLL-BEVLY CNA
NPI 1023624871
In Home Supportive Care in Saint Louis, MO

Active since September 17, 2020
3120 WYOMING ST, SAINT LOUIS, MO 63118(313) 297-6141 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kimberly Renee' Carroll-bevly Cna NPPES

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

MRS. KIMBERLY RENEE' CARROLL-BEVLY CNA (NPI 1023624871) is an individual in home supportive care provider in Saint Louis, Missouri and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1023624871
Entity TypeIndividualFemale
Primary Taxonomy253Z00000X
Provider Legal NameMRS. KIMBERLY RENEE' CARROLL-BEVLYCredential: CNA
Location Address3120 WYOMING STSaint Louis, MO 63118-2130
Mailing Address3120 Wyoming StSaint Louis, MO 63118-2130 · (314) 297-6141
Phone(313) 297-6141
Sole ProprietorYes
Enumeration DateSeptember 17, 2020
NPPES CertifiedSeptember 17, 2020
✔ NPI 1023624871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Also ListedHome HealthTaxonomy 251E00000X
3120 WYOMING ST, Saint Louis, MO 63118
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Carroll-bevly's NPI number?

The NPI number for Kimberly Carroll-bevly is 1023624871. It was assigned to this individual provider in the NPPES registry on September 17, 2020.

Where is Kimberly Carroll-bevly located?

Kimberly Carroll-bevly practices at 3120 Wyoming St, Saint Louis, MO 63118. The listed phone number is (313) 297-6141.

What is Kimberly Carroll-bevly's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Carroll-bevly was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.