KELLIE HOME HEALTH LLC
NPI 1255961330
Home Health in Elkridge, MD

Active since January 17, 2020
7830 MISTLETOE DR APT 294, ELKRIDGE, MD 21075(240) 646-2083 Get Directions Write a Review

NPPES record last updated: January 17, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Home Health

About KELLIE HOME HEALTH LLC

This page provides the complete NPI Profile along with additional information for Kellie Home Health Llc, a provider established in Elkridge, Maryland operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1255961330 assigned on January 2020. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Electa Awanga (Owner)

NPI
1255961330 Verify this NPI
Provider Name
KELLIE HOME HEALTH LLC
Entity Type
Organization
Location Address
7830 MISTLETOE DR APT 294 ELKRIDGE, MD 21075
Location Phone
(240) 646-2083
Mailing Address
7830 MISTLETOE DR APT 294 ELKRIDGE, MD 21075
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-17-2020
Last Update Date
01-17-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ELECTA AWANGA

Authorized Official Title
OWNER
Authorized Official Phone
(240) 646-2083

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255961330, enumerated as an "organization" on January 17, 2020.

The provider is located at 7830 MISTLETOE DR APT 294 ELKRIDGE, MD 21075 and the phone number is (240) 646-2083.

Home Health with taxonomy code 251E00000X.