KELLY CARE, LLC
NPI 1659852580
Nurse Practitioner - Primary Care in Clarksville, MD
About Kelly Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY CARE, LLC (NPI 1659852580), doing business as Kelly Care, is a healthcare organization registered as a primary care in Clarksville, Maryland and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through January 3, 2028 and lists Sarah Secrest, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 21D2247111
Kelly Care · Clarksville, MDOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Care, LLC's NPI number?
The NPI number for Kelly Care, LLC is 1659852580. It was assigned to this organization in the NPPES registry on August 28, 2018. The provider is doing business as Kelly Care.
Where is Kelly Care, LLC located?
Kelly Care, LLC is located at 6100 Daylong Ln Ste 105, Clarksville, MD 21029. The listed phone number is (202) 684-7167.
What is Kelly Care, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Does Kelly Care, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D2247111) is associated with this NPI, valid through January 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Kelly Care, LLC was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
