KELLAMS FAMILY CARE HOME
NPI 1952786063
Assisted Living Facility in Reidsville, NC

Active since July 30, 2015
109 ROANOKE ST, REIDSVILLE, NC 27320(336) 637-8292(336) 361-3194 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kellams Family Care Home NPPES

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

KELLAMS FAMILY CARE HOME (NPI 1952786063) is a healthcare organization registered as an assisted living facility in Reidsville, North Carolina and active in the NPI registry since July 2015. The organization lists Mary Keesee Thomas, Administrator, as its authorized official.

NPPES Registry Identity

NPI1952786063
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameKELLAMS FAMILY CARE HOME LLC
Location Address109 ROANOKE STReidsville, NC 27320-3023
Mailing Address505 Staples StReidsville, NC 27320-3034 · (336) 342-1388 · Fax (336) 361-3194
Fax(336) 361-3194
Organization SubpartNo
Authorized OfficialMary Keesee ThomasAdministrator · (336) 613-5065
Enumeration DateJuly 30, 2015
Last NPPES UpdateJanuary 25, 2022
NPPES CertifiedJanuary 8, 2022
NPI 1952786063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in NC · FCL079098
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
109 ROANOKE ST, Reidsville, NC 27320

Other Names 1

Doing Business AsKellams Family Care Home

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
109 ROANOKE ST
REIDSVILLE, NC 27320
Custodial Care Facility (Adult Care Home)
109 ROANOKE ST
REIDSVILLE, NC 27320
Custodial Care Facility (Adult Care Home)
109 ROANOKE ST
REIDSVILLE, NC 27320
Assisted Living Facility
109 ROANOKE ST
REIDSVILLE, NC 27320
Nursing Home Administrator
109 ROANOKE ST
REIDSVILLE, NC 27320
Assisted Living Facility
109 ROANOKE ST
REIDSVILLE, NC 27320
Custodial Care Facility (Adult Care Home)
109 ROANOKE ST
REIDSVILLE, NC 27320

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 Kellams Family Care Home LLC's NPI number?

The NPI number for Kellams Family Care Home LLC is 1952786063. It was assigned to this organization in the NPPES registry on July 30, 2015. The provider is doing business as Kellams Family Care Home.

Where is Kellams Family Care Home LLC located?

Kellams Family Care Home LLC is located at 109 Roanoke St, Reidsville, NC 27320. The listed phone number is (336) 637-8292.

What is Kellams Family Care Home LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Kellams Family Care Home LLC was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.