Kellez Care Providers LLC
In Home Supportive Care in East Stroudsburg, PA. Organization (NPI-2).
NPI number1376339002
StatusActive
Last updated in NPPESApr 18, 2025
Details
- NPI
- 1376339002
- Entity type
- Organization (NPI-2)
- Legal business name
- Kellez Care Providers LLC
- Organization subpart
- No
- Enumeration date
- Apr 18, 2025
- Certification date
- Apr 18, 2025
- Last updated
- Apr 18, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 251E00000X | Home Health | – | – |
Practice location
309 Frisco CtEast Stroudsburg, PA 18301-8614
Phone 347-806-4744
Mailing address
309 Frisco CtEast Stroudsburg, PA 18301-8614
Phone 347-806-4744
Authorized official
Tisheena Kelly
President
3478064744
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 6 In Home Supportive Care Agency providers in East Stroudsburg · All 1,083 providers in East Stroudsburg
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