KELLYS ELITE BOUTIQUE, LLC


Address: 1869 Niles Cortland Rd., Ne, Warren, OH 44484
Phone: 8774249655

KELLYS ELITE BOUTIQUE, LLC (NPI# 1710282744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710282744
Entity Type Organization
Organization Name KELLYS ELITE BOUTIQUE, LLC
Practice Address 1869 Niles Cortland Rd., Ne
Warren
OH 44484
Practice Telephone 8774249655
Practice Fax Number 8664231145
Mailing Telephone 8774249655
Mailing Fax Number 8664231145
Enumeration Date 2011-01-23
Last Update Date 2012-09-17
Authorized Official Name KELLY FRANKO (MEMBER)
Authorized Official Telephone 8774249655
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies Suppliers

Office Location

Street Address 1869 NILES CORTLAND RD., NE
City WARREN
State OH
Zip Code 44484

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205446283 Jessica Toot Behavior Technician Oakwood Counseling Center LLC, 1704 North Road Se, Warren, OH 44484 2020-08-05
1558857060 Quantina Louise Thomas Home Health 1548oak Knoll Se, Warren, OH 44484 2018-07-09
1033609706 Justin A Houy Massage Therapist 8345 E. Market St. Suite C, The Chiropractic and Functional Neurology Center, Warren, OH 44484 2018-05-17
1679091359 Ester Mae Butler Nurse's Aide 2228 Draper Avenue Se, Warren, OH 44484 2017-09-01
1477070811 Amanda Lynn Heberling Occupational Therapy Assistant 8128 Kenyon Dr., Warren, OH 44484 2017-08-26
1790213650 Joyce A Mechling Licensed Practical Nurse 2737 Youngstown Rd., Warren, OH 44484 2017-05-23
1598206898 Stan Catullo Substance Abuse Rehabilitation Facility 2737 Youngstown Warren Road Se, Warren, OH 44484 2017-03-20
1679014054 Pamela M Lang Pharmacist 1977 Niles Rd S.e., Genoa A Qol Healthcare Company, Warren, OH 44484 2017-03-17
1922454800 Jeremy Michael Capetillo Dentist 8740 E Market St Ste 1, Warren, OH 44484 2016-05-10
1215311865 Jessica Dawn Harris Physical Therapy Assistant 1926 Ridge Avenue, Warren, OH 44484 2015-07-14
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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538715636 3 Dove Medical Supplies Durable Medical Equipment & Medical Supplies 31201 Chicago Rd S Ste C101, Warren, MI 48093 2019-08-14
1831689405 Rivana Medical Equipment LLC Durable Medical Equipment & Medical Supplies 4208 E 14 Mile Rd, Warren, MI 48092-4325 2018-05-18
1508367111 Meijer, Inc. Durable Medical Equipment & Medical Supplies 25225 Schoenherr Rd, Warren, MI 48089 2018-02-28
1134629496 Homepro Medical Equipment, LLC Durable Medical Equipment & Medical Supplies 3200 E 12 Mile Rd Ste 203b, Warren, MI 48092-5621 2018-02-13
1538668272 American Home Medical Equipment LLC Durable Medical Equipment & Medical Supplies 3200 E 12 Mile Rd Ste 200, Warren, MI 48092-5621 2018-02-08
1053834762 Befitting You, LLC Durable Medical Equipment & Medical Supplies 28800 Ryan Rd Ste 325, Warren, MI 48092-4283 2017-07-25
1255737235 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 150 E Market St Ste 100, Warren, OH 44481-1141 2014-11-18
1801226063 Wal-mart Stores East Lp Durable Medical Equipment & Medical Supplies 29176 Van Dyke Ave, Warren, MI 48093-6764 2013-11-25
1780019463 J M Clemente Co Durable Medical Equipment & Medical Supplies 180 N Park Ave, Warren, OH 44481-1126 2013-09-12
1770837296 Michigan Home Exteriors Durable Medical Equipment & Medical Supplies 11444 Kaltz Ave, Warren, MI 48089 2012-11-06
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Competitor

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City WARREN
Zip Code 44484

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Dataset Information

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.

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