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SHARON MAGGIE KELLY
NPI 1235695206
Community Based Residential Treatment Facility, Mental Illness in Gary, IN

Active since February 14, 2019
4747 W 24TH AVE, GARY, IN 46406(219) 240-8615(219) 977-1197 Get Directions Write a Review

NPPES record last updated: February 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sharon Maggie Kelly NPPES

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

SHARON MAGGIE KELLY (NPI 1235695206) is an individual community based residential treatment facility, mental illness provider in Gary, Indiana and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1235695206
Entity TypeIndividualFemale
Primary Taxonomy320800000X
Provider Legal NameSHARON MAGGIE KELLY
Location Address4747 W 24TH AVEGary, IN 46406-2821
Mailing Address4747 W 24th AveGary, IN 46406-2821 · (219) 240-8615 · Fax (219) 977-1197
Phone(219) 240-8615
Fax(219) 977-1197
Sole ProprietorYes
Enumeration DateFebruary 14, 2019
✔ NPI 1235695206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
4747 W 24TH AVE, Gary, IN 46406
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Other Providers at the Same Location NPPES 20

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

TIA WILLIAMS
Community Based Residential Treatment Facility, Mental Illness
4747 W 24TH AVE
GARY, IN 46406
Lake County (219) 240-8615
LADONNA LUCILLE BELL
Registered Nurse (Addiction (Substance Use Disorder))
4747 W 24TH AVE
GARY, IN 46406
Lake County (219) 885-4264
ROBERT MAYS
Technician (Attendant Care Provider)
4747 W 24TH AVE
GARY, IN 46406
Lake County (219) 240-8615
ZAKIA BRODNAX
Technician, Health Information (Assistant Record Technician)
4747 W 24TH AVE
GARY, IN 46406
Lake County (219) 240-8615
STACEY WILLIAMS RN
Registered Nurse (Administrator)
4747 W 24TH AVE
GARY, IN 46406
Lake County (219) 240-8615
MIDDLE PASSAGE, INCORPORATED
Community/Behavioral Health
4747 W 24TH AVE
GARY, IN 46406
Lake County (219) 949-4747
KHALIAH AMANI HERBERT
Technician, Health Information
4747 W 24TH AVE
GARY, IN 46406
Lake County (219) 885-4264
MRS. TERRONDA HURN RN
Registered Nurse
4747 W 24TH AVE
GARY, IN 46406
Lake County (219) 240-8615

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 Sharon Kelly's NPI number?

The NPI number for Sharon Kelly is 1235695206. It was assigned to this individual provider in the NPPES registry on February 14, 2019.

Where is Sharon Kelly located?

Sharon Kelly practices at 4747 W 24th Ave, Gary, IN 46406. The listed phone number is (219) 240-8615.

What is Sharon Kelly's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Sharon Kelly was last updated on February 14, 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.