1. Home
  2. Directory
  3. Maryland
  4. Upper Marlboro
  5. Community Based Residential Treatment Facility Intellectual And Or Developmental Disabilities
  6. NPI Profile

KELLYS SUPPORT SERVICES OF MARYLAND
NPI 1871214510
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Upper Marlboro, MD

Active since September 12, 2022
3920 ROCK SPRING DR, UPPER MARLBORO, MD 20772(919) 444-1550 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kellys Support Services Of Maryland NPPES

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

KELLYS SUPPORT SERVICES OF MARYLAND (NPI 1871214510) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Upper Marlboro, Maryland and active in the NPI registry since September 2022. The organization lists Kelly Anye Miyang, Executive Durector, as its authorized official.

NPPES Registry Identity

NPI1871214510
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameKELLYS SUPPORT SERVICES OF MARYLAND
Location Address3920 ROCK SPRING DRUpper Marlboro, MD 20772-3993
Mailing Address3920 Rock Spring DrUpper Marlboro, MD 20772-3993 · (919) 444-1550
Phone(919) 444-1550
Organization SubpartNo
Authorized OfficialKelly Anye MiyangExecutive Durector · (919) 444-1550
Enumeration DateSeptember 12, 2022
NPPES CertifiedSeptember 6, 2022
✔ NPI 1871214510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
3920 ROCK SPRING DR, Upper Marlboro, MD 20772
Open in Google Maps ↗

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 Kellys Support Services Of Maryland's NPI number?

The NPI number for Kellys Support Services Of Maryland is 1871214510. It was assigned to this organization in the NPPES registry on September 12, 2022.

Where is Kellys Support Services Of Maryland located?

Kellys Support Services Of Maryland is located at 3920 Rock Spring Dr, Upper Marlboro, MD 20772. The listed phone number is (919) 444-1550.

What is Kellys Support Services Of Maryland'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 Kellys Support Services Of Maryland was last updated on September 12, 2022. 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.