KELLYS CARE 3
NPI 1043671613
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Mooresboro, NC
NPI Status: Active since March 10, 2016
Contact Information
133 KEETER RD.
MOORESBORO, NC
ZIP 28114
Phone: (828) 286-0596
Fax: (828) 245-4099
- Organization
- Residential Treatment Facility, Intellec...
- CLIA Number: 34D2121060
- CLIA Cert. Type: Other - GROUP HOMES
- CLIA Exp. Date: 10-27-2026
About KELLYS CARE 3
This page provides the complete NPI Profile along with additional information for Kellys Care 3, a provider established in Mooresboro, North Carolina operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1043671613 assigned on March 2016. The practitioner's primary taxonomy code is 320600000X with license number MHL-081-094 (NC). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Kellys Care 3. The authorized official of this NPI record is Mr. Kenneth Dellinger Bs;qp (Director Of Operations)
- NPI
- 1043671613
- Provider Legal Name
- KD SUPPORT SERVICES
- Other Organization Name
- KELLYS CARE 3
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 133 KEETER RD. MOORESBORO, NC 28114
- Location Phone
- (828) 286-0596
- Location Fax
- (828) 245-4099
- Mailing Address
- 158 US HIGHWAY 221A FOREST CITY, NC 28043
- Mailing Phone
- (828) 245-4011
- Mailing Fax
- (828) 245-4099
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-10-2016
- Last Update Date
- 03-10-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- License No.
- MHL-081-094
- License State
- NC
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3418462 | MEDICAID (05) | NC |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D2121060
- Facility Type
- Other - GROUP HOMES
- Certificate Effective Date
- October 28, 2024
- Certificate Expiration Date
- October 27, 2026
- Laboratory Director
- KENNETH D. DELLINGER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Kellys Care 3 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1043671613, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043671613, enumerated as an "organization" on March 10, 2016.
The provider is located at 133 KEETER RD. MOORESBORO, NC 28114 and the phone number is (828) 286-0596.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
