Provider Demographics
NPI:1437677325
Name:KELLY MEANS BUSINESS, INC.
Entity Type:Organization
Organization Name:KELLY MEANS BUSINESS, INC.
Other - Org Name:COMFORCARE HOME CARE - ANDERSON, SC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-716-0546
Mailing Address - Street 1:332 LAUREL MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:TOCCOA
Mailing Address - State:GA
Mailing Address - Zip Code:30577-8367
Mailing Address - Country:US
Mailing Address - Phone:706-716-0546
Mailing Address - Fax:
Practice Address - Street 1:135 EAGLES NEST DR STE K
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:SC
Practice Address - Zip Code:29678-2766
Practice Address - Country:US
Practice Address - Phone:864-973-8955
Practice Address - Fax:864-973-8959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-31
Last Update Date:2017-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCIHCP-0758OtherSC DHEC IN-HOME CARE PROVIDER LICENSE