Provider Demographics
NPI:1033895537
Name:KELLYS HOME HEALTH & STAFFING
Entity Type:Organization
Organization Name:KELLYS HOME HEALTH & STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:O'FLAHERTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-491-8104
Mailing Address - Street 1:2783 NC HIGHWAY 68 S STE 118
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-8325
Mailing Address - Country:US
Mailing Address - Phone:336-491-8104
Mailing Address - Fax:
Practice Address - Street 1:2783 NC HIGHWAY 68 S STE 118
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-8325
Practice Address - Country:US
Practice Address - Phone:336-491-8104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty