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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KELLY MICHELLE BRADY
NPI 1881501187
Custodial Care Facility - Adult Care Home in Lewiston, ID

Active since August 25, 2026
2604 SEAPORT DR, LEWISTON, ID 83501(509) 254-3207 Get Directions Write a Review

NPPES record added: August 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kelly Michelle Brady NPPES

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

KELLY MICHELLE BRADY (NPI 1881501187) is an individual adult care home provider in Lewiston, Idaho, licensed in Idaho (CFH-11342) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1881501187
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameKELLY MICHELLE BRADY
Location Address2604 SEAPORT DRLewiston, ID 83501-9669
Mailing Address2604 Seaport DrLewiston, ID 83501-9669 · (509) 254-3207
Phone(509) 254-3207
Sole ProprietorYes
Enumeration DateAugust 25, 2026
NPPES CertifiedAugust 25, 2026
✔ NPI 1881501187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in ID · CFH-11342
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
2604 SEAPORT DR, Lewiston, ID 83501
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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 Brady's NPI number?

The NPI number for Kelly Brady is 1881501187. It was assigned to this individual provider in the NPPES registry on August 25, 2026.

Where is Kelly Brady located?

Kelly Brady practices at 2604 Seaport Dr, Lewiston, ID 83501. The listed phone number is (509) 254-3207.

What is Kelly Brady's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Kelly Brady was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.