Provider Demographics
NPI:1386212553
Name:KELCYS LOVING ARMS INC
Entity Type:Organization
Organization Name:KELCYS LOVING ARMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MELBRA
Authorized Official - Middle Name:GARVEY
Authorized Official - Last Name:SHELTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-520-0165
Mailing Address - Street 1:4 CHELSEA BLVD APT 1418
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-6269
Mailing Address - Country:US
Mailing Address - Phone:832-620-8390
Mailing Address - Fax:713-440-7677
Practice Address - Street 1:4 CHELSEA BLVD APT 1418
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-6269
Practice Address - Country:US
Practice Address - Phone:832-620-8390
Practice Address - Fax:713-440-7677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility