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KELLIS HOME LLC
NPI 1215711171
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Greenfield, OH

Active since August 22, 2023
404 SOUTH ST, GREENFIELD, OH 45123(937) 403-4051 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kellis Home Llc NPPES

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

KELLIS HOME LLC (NPI 1215711171) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Greenfield, Ohio and active in the NPI registry since August 2023. The organization lists Karla L Kellis, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1215711171
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameKELLIS HOME LLC
Location Address404 SOUTH STGreenfield, OH 45123-1432
Mailing Address404 South StGreenfield, OH 45123-1432 · (937) 403-4051
Phone(937) 403-4051
Organization SubpartNo
Authorized OfficialKarla L KellisDirector Of Operations · (937) 403-4051
Enumeration DateAugust 22, 2023
NPPES CertifiedAugust 22, 2023
✔ NPI 1215711171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
404 SOUTH ST, Greenfield, OH 45123
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Other Names 1

Doing Business AsKellis Home Llc

Other Providers at the Same Location NPPES

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

KELLIS HOME
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
404 SOUTH ST
GREENFIELD, OH 45123
Highland County (937) 403-4051

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 Kellis Home LLC's NPI number?

The NPI number for Kellis Home LLC is 1215711171. It was assigned to this organization in the NPPES registry on August 22, 2023.

Where is Kellis Home LLC located?

Kellis Home LLC is located at 404 South St, Greenfield, OH 45123. The listed phone number is (937) 403-4051.

What is Kellis Home LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Kellis Home LLC was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.