1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Technician
  6. NPI Profile

JAKE L KELLY
NPI 1992641542
Technician - Personal Care Attendant in Philadelphia, PA

Active since April 27, 2026
5350 GAINOR RD, PHILADELPHIA, PA 19131(610) 605-0558 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jake L Kelly NPPES

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

JAKE L KELLY (NPI 1992641542) is an individual personal care attendant in Philadelphia, Pennsylvania and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1992641542
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameJAKE L KELLY
Location Address5350 GAINOR RDPhiladelphia, PA 19131-2338
Mailing Address4012 Reno StPhiladelphia, PA 19104-4827 · (610) 605-0558
Phone(610) 605-0558
Sole ProprietorYes
Enumeration DateApril 27, 2026
NPPES CertifiedApril 27, 2026
✔ NPI 1992641542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
5350 GAINOR RD, Philadelphia, PA 19131
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jake Kelly's NPI number?

The NPI number for Jake Kelly is 1992641542. It was assigned to this individual provider in the NPPES registry on April 27, 2026.

Where is Jake Kelly located?

Jake Kelly practices at 5350 Gainor Rd, Philadelphia, PA 19131. The listed phone number is (610) 605-0558.

What is Jake Kelly's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Jake Kelly was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.