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KELLY VANESSA HERNANDEZ JR.
NPI 1164048666
Technician - Personal Care Attendant in College Park, MD

Active since June 19, 2020
4709 CHERRY HILL RD, COLLEGE PARK, MD 20740(240) 701-1132 Get Directions Write a Review

NPPES record last updated: June 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Vanessa Hernandez Jr. NPPES

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

KELLY VANESSA HERNANDEZ JR. (NPI 1164048666) is an individual personal care attendant in College Park, Maryland, licensed in Maryland (ACTIVE) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1164048666
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameKELLY VANESSA HERNANDEZ JR.
Location Address4709 CHERRY HILL RDCollege Park, MD 20740-1329
Mailing Address4709 Cherry Hill RdCollege Park, MD 20740-1329 · (240) 701-1132
Phone(240) 701-1132
Sole ProprietorNo
Enumeration DateJune 19, 2020
NPPES CertifiedJune 19, 2020
✔ NPI 1164048666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
License✔ Licensed in MD · ACTIVE
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
4709 CHERRY HILL RD, College Park, MD 20740
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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 Kelly Hernandez's NPI number?

The NPI number for Kelly Hernandez is 1164048666. It was assigned to this individual provider in the NPPES registry on June 19, 2020.

Where is Kelly Hernandez located?

Kelly Hernandez practices at 4709 Cherry Hill Rd, College Park, MD 20740. The listed phone number is (240) 701-1132.

What is Kelly Hernandez's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Kelly Hernandez was last updated on June 19, 2020. 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.