KELLY SAMPLE
NPI 1427646025
Homemaker in Chardon, OH

Q: What is Kelly Sample's NPI number?

The NPI number for Kelly Sample is 1427646025. It was assigned to this individual provider in the NPPES registry on January 8, 2021.

Q: What is Kelly Sample's specialty?

The primary specialty registered for this NPI is Homemaker with taxonomy code 376J00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Sample was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 08, 2021

12065 NICKI LN, CHARDON, OH 44024(440) 226-0867 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Kelly Sample NPPES

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

KELLY SAMPLE (NPI 1427646025) is an individual homemaker provider in Chardon, Ohio and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1427646025

Entity TypeIndividualMale

Primary Taxonomy376J00000X

Provider Legal NameKELLY SAMPLE

Location Address12065 NICKI LNChardon, OH 44024-8941

Mailing Address12065 Nicki LnChardon, OH 44024-8941 · (440) 226-0867

Phone(440) 226-0867

Sole ProprietorYes

Enumeration DateJanuary 8, 2021

NPPES CertifiedJanuary 8, 2021

✔ NPI 1427646025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHomemakerNursing Service Related Providers

Taxonomy Code376J00000X

Definition

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

12065 NICKI LN, Chardon, OH 44024

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Other Providers at the Same Location NPPES

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

MARY GOTLIEBOWSKI

In Home Supportive Care

12065 NICKI LN
CHARDON, OH 44024

Geauga County (440) 867-5348

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 Kelly Sample's NPI number?

The NPI number for Kelly Sample is 1427646025. It was assigned to this individual provider in the NPPES registry on January 8, 2021.

Where is Kelly Sample located?

Kelly Sample practices at 12065 Nicki Ln, Chardon, OH 44024. The listed phone number is (440) 226-0867.

What is Kelly Sample's specialty?

The primary specialty registered for this NPI is Homemaker with taxonomy code 376J00000X.

When was this NPI record last updated?

The NPPES record for Kelly Sample was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.