MR. DAN DALE KELLY
NPI 1285952101
Adult Companion in Shady Cove, OR

Active since May 17, 2010
120 BIRCH ST, SHADY COVE, OR 97539(541) 878-2429 Get Directions Write a Review

NPPES record last updated: May 17, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Dan Dale Kelly NPPES

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

MR. DAN DALE KELLY (NPI 1285952101) is an individual adult companion provider in Shady Cove, Oregon and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1285952101
Entity TypeIndividualMale
Primary Taxonomy372600000X
Provider Legal NameMR. DAN DALE KELLY
Location Address120 BIRCH STShady Cove, OR 97539
Mailing AddressPo Box 1516Shady Cove, OR 97539 · (541) 878-2429
Sole ProprietorYes
Enumeration DateMay 17, 2010
NPI 1285952101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyAdult CompanionNursing Service Related Providers
Taxonomy Code372600000X
Definition

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

Also ListedDriverTaxonomy 172A00000X
Also ListedChore ProviderTaxonomy 372500000X
120 BIRCH ST, Shady Cove, OR 97539

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 Dan Kelly's NPI number?

The NPI number for Dan Kelly is 1285952101. It was assigned to this individual provider in the NPPES registry on May 17, 2010.

Where is Dan Kelly located?

Dan Kelly practices at 120 Birch St, Shady Cove, OR 97539. The listed phone number is (541) 878-2429.

What is Dan Kelly's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Dan Kelly was last updated on May 17, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.