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ANGELA KELLY
NPI 1992115547
Custodial Care Facility - Adult Care Home in Jacksonville, FL

Active since May 05, 2014
720 VALLEY FORGE RD, JACKSONVILLE, FL 32208(904) 405-9681 Get Directions Write a Review

NPPES record last updated: May 5, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angela Kelly NPPES

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

ANGELA KELLY (NPI 1992115547) is an individual adult care home provider in Jacksonville, Florida, licensed in Florida (6906432) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1992115547
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameANGELA KELLY
Location Address720 VALLEY FORGE RDJacksonville, FL 32208-3566
Mailing Address720 Valley Forge RdJacksonville, FL 32208-3566 · (904) 405-9681
Phone(904) 405-9681
Sole ProprietorYes
Enumeration DateMay 5, 2014
✔ NPI 1992115547 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 FL · 6906432
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.
720 VALLEY FORGE RD, Jacksonville, FL 32208
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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 Angela Kelly's NPI number?

The NPI number for Angela Kelly is 1992115547. It was assigned to this individual provider in the NPPES registry on May 5, 2014.

Where is Angela Kelly located?

Angela Kelly practices at 720 Valley Forge Rd, Jacksonville, FL 32208. The listed phone number is (904) 405-9681.

What is Angela Kelly'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 Angela Kelly was last updated on May 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.