MRS. KELLY MARIE PORTER
NPI 1639405806
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities in Massillon, OH

Active since October 23, 2009
525 HARDING AVE NW, MASSILLON, OH 44646(330) 704-1277 Get Directions Write a Review

NPPES record last updated: October 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kelly Marie Porter NPPES

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

MRS. KELLY MARIE PORTER (NPI 1639405806) is an individual respite care, intellectual and/or developmental disabilities provider in Massillon, Ohio and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1639405806
Entity TypeIndividualMale
Primary Taxonomy385HR2060X
Provider Legal NameMRS. KELLY MARIE PORTER
Location Address525 HARDING AVE NWMassillon, OH 44646-3252
Mailing Address525 Harding Ave NwMassillon, OH 44646-3252 · (330) 704-1277
Sole ProprietorYes
Enumeration DateOctober 23, 2009
NPI 1639405806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code385HR2060X
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
525 HARDING AVE NW, Massillon, OH 44646

Other Identifiers 1

Medicaid2973475OH

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 Porter's NPI number?

The NPI number for Kelly Porter is 1639405806. It was assigned to this individual provider in the NPPES registry on October 23, 2009.

Where is Kelly Porter located?

Kelly Porter practices at 525 Harding Ave NW, Massillon, OH 44646. The listed phone number is (330) 704-1277.

What is Kelly Porter's specialty?

The primary specialty registered for this NPI is Respite Care, specializing in Respite Care, Intellectual and/or Developmental Disabilities, with taxonomy code 385HR2060X.

When was this NPI record last updated?

The NPPES record for Kelly Porter was last updated on October 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.