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KELLIN FOUNDATION
NPI 1104653104
Community/Behavioral Health in Greensboro, NC

Active since September 16, 2024
4010 WALKER AVE, GREENSBORO, NC 27403(336) 429-5600 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kellin Foundation NPPES

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

KELLIN FOUNDATION (NPI 1104653104) is a healthcare organization registered as a community/behavioral health in Greensboro, North Carolina and active in the NPI registry since September 2024. The organization maintains a secondary practice location in Greensboro and lists Kelly Graves, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1104653104
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameKELLIN FOUNDATION
Location Address4010 WALKER AVEGreensboro, NC 27403-1918
Mailing Address4010 Walker AveGreensboro, NC 27403-1918
Phone(336) 429-5600
Organization SubpartNo
Authorized OfficialKelly GravesPresident And Ceo · (336) 429-5600
Enumeration DateSeptember 16, 2024
NPPES CertifiedSeptember 9, 2024
✔ NPI 1104653104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
4010 WALKER AVE, Greensboro, NC 27403
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Secondary Practice Location 1

Location 1913 Third StreetGreensboro, NC 27405 · Phone (336) 429-5600

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.

CIERA HARRISON LCSWA
Social Worker (Clinical)
4010 WALKER AVE
GREENSBORO, NC 27403
Guilford County (336) 429-5600
DEBRA YVONNE NICOLI LCSW
Social Worker (Clinical)
4010 WALKER AVE
GREENSBORO, NC 27403
Guilford County (336) 207-8350
KELLIN FOUNDATION
Behavior Technician
4010 WALKER AVE
GREENSBORO, NC 27403
Guilford County (336) 429-5600
JEAN WEGGER LCSW-A
Social Worker (Clinical)
4010 WALKER AVE
GREENSBORO, NC 27403
Guilford County (336) 429-5600

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 Kellin Foundation's NPI number?

The NPI number for Kellin Foundation is 1104653104. It was assigned to this organization in the NPPES registry on September 16, 2024.

Where is Kellin Foundation located?

Kellin Foundation is located at 4010 Walker Ave, Greensboro, NC 27403. The listed phone number is (336) 429-5600.

What is Kellin Foundation's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Kellin Foundation was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.