JEFFREY GLEN KELLY SR.
NPI 1508338294
Adult Companion in Sacramento, CA

Q: What is Jeffrey Kelly's NPI number?

The NPI number for Jeffrey Kelly is 1508338294. It was assigned to this individual provider in the NPPES registry on December 19, 2018.

Q: What is Jeffrey Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Kelly was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 December 19, 2018

3440 VIKING DR, SACRAMENTO, CA 95827(916) 262-8598 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2025, Apr 4, 2025, Mar 19, 2025 and 1 more (4 updates tracked since 2018).

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About Jeffrey Glen Kelly Sr. NPPES

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

JEFFREY GLEN KELLY SR. (NPI 1508338294) is an individual adult companion provider in Sacramento, California and active in the NPI registry since December 2018. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1508338294

Entity TypeIndividualMale

Primary Taxonomy372600000X

Provider Legal NameJEFFREY GLEN KELLY SR.

Location Address3440 VIKING DRSacramento, CA 95827-2844

Mailing Address3440 Viking DrSacramento, CA 95827-2844 · (916) 262-8598

Phone(916) 262-8598

Sole ProprietorYes

Enumeration DateDecember 19, 2018

Last NPPES UpdateJune 5, 20254 updates tracked since enumeration

NPPES CertifiedJune 5, 2025

✔ NPI 1508338294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedBehavior TechnicianTaxonomy 106S00000X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedCommunity Health WorkerTaxonomy 172V00000X

3440 VIKING DR, Sacramento, CA 95827

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Secondary Practice Locations 2

Location 1505 M StRio Linda, CA 95673-2218 · Phone (916) 287-4067

Location 27415 Henrietta DrSacramento, CA 95822-5142 · Phone (916) 520-7399

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.

MR. WILLIAM CURTIS SPRUILL JR.

Social Worker (Clinical)