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KELLYS CARE 3
NPI 1043671613
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Mooresboro, NC

Active since March 10, 2016CLIA 34D2121060 · Waiver
133 KEETER RD., MOORESBORO, NC 28114(828) 286-0596(828) 245-4099 Get Directions Write a Review

NPPES record last updated: March 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kellys Care 3 NPPES

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

KELLYS CARE 3 (NPI 1043671613) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Mooresboro, North Carolina and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through October 27, 2026 and lists Kenneth Dellinger, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1043671613
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameKD SUPPORT SERVICES
Location Address133 KEETER RD.Mooresboro, NC 28114
Mailing Address158 Us Highway 221aForest City, NC 28043-5600 · (828) 245-4011 · Fax (828) 245-4099
Phone(828) 286-0596
Fax(828) 245-4099
Organization SubpartNo
Authorized OfficialKenneth DellingerDirector Of Operations · (828) 245-4011
Enumeration DateMarch 10, 2016
✔ NPI 1043671613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in NC · MHL-081-094
Definition
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.
133 KEETER RD., Mooresboro, NC 28114
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Other Names 1

Doing Business AsKellys Care 3

Other Identifiers 1

Medicaid3418462NC

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2121060

Kd Support Services · Forest City, NC
Active · expires Oct 27, 2026
CLIA Number34D2121060
Laboratory TypeGroup Homes
Certificate Effective DateOctober 28, 2024
Certificate Expiration DateOctober 27, 2026
Laboratory DirectorKenneth D. Dellinger
Laboratory Phone(828) 245-4011
Laboratory LocationKd Support Services158 Us Highway 221-1a, Forest City, NC 28043
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Kd Support Services's NPI number?

The NPI number for Kd Support Services is 1043671613. It was assigned to this organization in the NPPES registry on March 10, 2016. The provider is doing business as Kellys Care 3.

Where is Kd Support Services located?

Kd Support Services is located at 133 Keeter Rd., Mooresboro, NC 28114. The listed phone number is (828) 286-0596.

What is Kd Support Services's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Does Kd Support Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2121060) is associated with this NPI, valid through October 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kd Support Services was last updated on March 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.