KELLIS HOME
NPI 1366132839
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Greenfield, OH

Active since May 09, 2023
404 SOUTH ST, GREENFIELD, OH 45123(937) 403-4051 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kellis Home NPPES

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

KELLIS HOME (NPI 1366132839) 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 May 2023. The organization lists Karla Leia Kellis, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1366132839
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameKELLIS HOME
Location Address404 SOUTH STGreenfield, OH 45123-1432
Mailing Address404 South StGreenfield, OH 45123-1432 · (937) 403-4051
Organization SubpartNo
Authorized OfficialKarla Leia KellisDirector Of Operations · (937) 403-4051
Enumeration DateMay 9, 2023
NPPES CertifiedMay 9, 2023
NPI 1366132839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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 ListedPrivate VehicleTaxonomy 347C00000X
404 SOUTH ST, Greenfield, OH 45123

Other Names 1

Doing Business AsKellis Home

Other Providers at the Same Location NPPES

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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
404 SOUTH ST
GREENFIELD, OH 45123

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's NPI number?

The NPI number for Kellis Home is 1366132839. It was assigned to this organization in the NPPES registry on May 9, 2023.

Where is Kellis Home located?

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

What is Kellis Home'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 was last updated on May 9, 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.