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KELIZ INC
NPI 1063977403
Home Health in Alexandria, VA

Active since February 08, 2019CLIA 49D2192019 · Waiver
85 S BRAGG ST # 401, ALEXANDRIA, VA 22312(703) 814-5106(703) 348-6140 Get Directions Write a Review

NPPES record last updated: February 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keliz Inc NPPES

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

KELIZ INC (NPI 1063977403), doing business as Keliz Health Services, is a healthcare organization registered as a home health in Alexandria, Virginia and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through September 2, 2026 and lists Octavie Bongam-sikod, Director, as its authorized official.

NPPES Registry Identity

NPI1063977403
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameKELIZ INC
Location Address85 S BRAGG ST # 401Alexandria, VA 22312-2797
Mailing Address85 S Bragg St # 401Alexandria, VA 22312-2797 · (703) 814-5106 · Fax (703) 348-6140
Phone(703) 814-5106
Fax(703) 348-6140
Organization SubpartNo
Authorized OfficialOctavie Bongam-sikodDirector · (703) 814-5106
Enumeration DateFebruary 8, 2019
✔ NPI 1063977403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
85 S BRAGG ST # 401, Alexandria, VA 22312
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Other Names 1

Doing Business AsKeliz Health Services

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 49D2192019

Keliz Health Services · Alexandria, VA
Active · expires Sep 2, 2026
CLIA Number49D2192019
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 3, 2024
Certificate Expiration DateSeptember 2, 2026
Laboratory DirectorOctavie B. Bongam-Sikod
Laboratory Phone(703) 814-5106
Laboratory LocationKeliz Health Services85 S Bragg Street #401, Alexandria, VA 22312
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. EVANGELINE CHINWE GAINES
Licensed Practical Nurse
85 S BRAGG ST # 401
ALEXANDRIA, VA 22312
Fairfax County (703) 814-5106
CECILIA ISIEGEH TEM
Home Health Aide
85 S BRAGG ST # 401
ALEXANDRIA, VA 22312
Fairfax County (703) 814-5106
FRANCK CESAR TABET IOWA
Home Health Aide
85 S BRAGG ST # 401
ALEXANDRIA, VA 22312
Fairfax County (703) 814-5106
SPORA ENDAM MBANWEI
Behavior Technician
85 S BRAGG ST # 401
ALEXANDRIA, VA 22312
Fairfax County (703) 814-5106

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 Keliz Inc's NPI number?

The NPI number for Keliz Inc is 1063977403. It was assigned to this organization in the NPPES registry on February 8, 2019. The provider is doing business as Keliz Health Services.

Where is Keliz Inc located?

Keliz Inc is located at 85 S Bragg St # 401, Alexandria, VA 22312. The listed phone number is (703) 814-5106.

What is Keliz Inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Keliz Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2192019) is associated with this NPI, valid through September 2, 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 Keliz Inc was last updated on February 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.