DEVEETA R KELLY (NPI# 1669090726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669090726 |
| Entity Type | Individual |
| Full Name | DEVEETA R KELLY |
| Practice Address |
724 E Laclede Ave Youngstown OH 44502-2344 |
| Practice Telephone | 3303142538 |
| Mailing Telephone | 3303142538 |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 401697611014 | OH | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 401697611014 | 05 |
| Street Address |
724 E LACLEDE AVE |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44502-2344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484189 | Kyle Dalton Flora | Specialist/Technologist | 577 5th Ave Rm 1103, Youngstown, OH 44502 | 2020-07-09 |
| 1700449568 | Lil Indian's Mobile Meals LLC | Meals | 3662 Loveland Rd., Youngstown, OH 44502 | 2019-04-17 |
| 1588155162 | Luke Cantin | Specialist/Technologist | 577 5th Ave, Youngstown, OH 44502 | 2018-05-19 |
| 1104377464 | Jessica Slaughter | Physical Therapist | 299 Edward Street, Youngstown, OH 44502 | 2016-10-20 |
| 1295147585 | Willow Claims Processing, LLC | Case Management | 507 Oak Hill Avenue, 551 New Court, Youngstown, OH 44502 | 2014-05-21 |
| 1821413717 | Amy Woodford | Speech-Language Pathologist | 50 Essex Street, Youngstown, OH 44502 | 2014-02-28 |
| 1710318282 | Ursuline Center | Clinic/Center | 345 Oak Hill Ave Ste 200, Youngstown, OH 44502 | 2013-12-09 |
| 1275891087 | Michael K Lemaster | Counselor | 4949 Urbana Road, Suite 201, Springfield, OH 44502 | 2012-04-30 |
| 1407027378 | Youngstown City Health District | Internal Medicine | 345 Oak Hill Avenue, Youngstown, OH 44502 | 2008-03-18 |
| 1427136431 | Rebecca Ann Nelis | Social Worker | 611 Belmont Avenue, Youngstown, OH 44502 | 2006-11-01 |
| Find all providers in zip 44502 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073120648 | Carla M Robinson | Home Health | 1525 Ford Ave, Youngstown, OH 44504-1515 | 2020-09-28 |
| 1124635826 | Kathryn Schuller | Home Health | 285 E Judson Ave, Youngstown, OH 44507-1938 | 2020-09-26 |
| 1265049274 | Jeanne Yvette Ballard | Home Health | 4231 New Rd, Youngstown, OH 44515-4692 | 2020-09-24 |
| 1699382721 | Briann C Little | Home Health | 241 S Osborn Ave, Youngstown, OH 44509 | 2020-09-23 |
| 1518575141 | Tawana Lakeisha Ellis | Home Health | 229 Outlook Ave, Youngstown, OH 44504-1846 | 2020-07-20 |
| 1861017030 | Essence Monique Cole | Home Health | 108 S Glenellen Ave, Youngstown, OH 44509-2707 | 2020-06-12 |
| 1306461819 | Brianna Fortner | Home Health | 4521 Deer Creek Ct, Youngstown, OH 44515-5464 | 2020-06-10 |
| 1720602741 | Marangeli Rivera | Home Health | 2415 Hubbard Rd, Youngstown, OH 44505-3152 | 2020-06-05 |
| 1073137667 | Hannah Christine Walden | Home Health | 449 N Worthington St, Youngstown, OH 44510-1545 | 2020-05-30 |
| 1962023739 | Mardeshia Sadler | Home Health | 947 S Schenley Ave, Youngstown, OH 44509-3034 | 2020-05-02 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44502 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.