Provider Demographics
NPI:1497163141
Name:KELS, LLC
Entity Type:Organization
Organization Name:KELS, LLC
Other - Org Name:SARAHCARE ADULT DAY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:W
Authorized Official - Last Name:HOGSETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-736-3005
Mailing Address - Street 1:2 COURTYARD LN
Mailing Address - Street 2:
Mailing Address - City:BARBOURSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25504-1015
Mailing Address - Country:US
Mailing Address - Phone:304-736-3005
Mailing Address - Fax:304-736-2888
Practice Address - Street 1:2 COURTYARD LN
Practice Address - Street 2:
Practice Address - City:BARBOURSVILLE
Practice Address - State:WV
Practice Address - Zip Code:25504-1015
Practice Address - Country:US
Practice Address - Phone:304-736-3005
Practice Address - Fax:304-736-2888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-25
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management