MRS. SHADAE KEILIA KLECKLEY
NPI 1023659703
Technician - Attendant Care Provider in New City, NY

Active since October 03, 2019
19 DIXWELL ROAD, NEW CITY, NY 10956(917) 565-5207 Get Directions Write a Review

NPPES record last updated: October 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Shadae Keilia Kleckley NPPES

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

MRS. SHADAE KEILIA KLECKLEY (NPI 1023659703) is an individual attendant care provider provider in New City, New York and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1023659703
Entity TypeIndividualFemale
Primary Taxonomy3747A0650X
Provider Legal NameMRS. SHADAE KEILIA KLECKLEY
Location Address19 DIXWELL ROADNew City, NY 10956
Mailing Address19 Dixwell RoadNew City, NY 10956 · (917) 565-5207
Sole ProprietorYes
Enumeration DateOctober 3, 2019
NPI 1023659703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
19 DIXWELL ROAD, New City, NY 10956

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 Shadae Kleckley's NPI number?

The NPI number for Shadae Kleckley is 1023659703. It was assigned to this individual provider in the NPPES registry on October 3, 2019.

Where is Shadae Kleckley located?

Shadae Kleckley practices at 19 Dixwell Road, New City, NY 10956. The listed phone number is (917) 565-5207.

What is Shadae Kleckley's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Shadae Kleckley was last updated on October 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.