SHARON MAGGIE KELLY
NPI 1235695206
Community Based Residential Treatment Facility, Mental Illness in Gary, IN

NPI Status: Active since February 14, 2019

Contact Information

4747 W 24TH AVE
GARY, IN
ZIP 46406
Phone: (219) 240-8615
Fax: (219) 977-1197

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  • Individual
  • Female
  • Community Based Residential Treatment Fa...

About SHARON KELLY

This page provides the complete NPI Profile along with additional information for Sharon Kelly, a provider established in Gary, Indiana with a medical specialization in Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1235695206 assigned on February 2019. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1235695206
Provider Name
SHARON MAGGIE KELLY
Gender
Female
Entity Type
Individual
Location Address
4747 W 24TH AVE GARY, IN 46406
Location Phone
(219) 240-8615
Location Fax
(219) 977-1197
Mailing Address
4747 W 24TH AVE GARY, IN 46406
Mailing Phone
(219) 240-8615
Mailing Fax
(219) 977-1197
Is Sole Proprietor?
Yes
Enumeration Date
02-14-2019
Last Update Date
02-14-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235695206
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22651291020
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 1 + 2 + 9 + 1 + 0 + 2 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1235695206 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548638745 LAMONT LABROI
Individual
Community Based Residential Treatment Facility, Mental Illness4747 W 24TH AVE
GARY, IN 46406
(219) 240-8615
1013385111 TIA WILLIAMS
Individual
Community Based Residential Treatment Facility, Mental Illness4747 W 24TH AVE
GARY, IN 46406
(219) 240-8615
1407224603 BILLY MADGETT
Individual
Community Based Residential Treatment Facility, Mental Illness4747 W 24TH AVE
GARY, IN 46406
(219) 240-6015
1881063196EDGEWATER SYSTEMS
Organization
Substance Abuse Rehabilitation Facility4747 W 24TH AVE
GARY, IN 46406
(219) 240-8615
1093184251 ROBERT MAYS
Individual
Technician (Attendant Care Provider)4747 W 24TH AVE
GARY, IN 46406
(219) 240-8615
1508235771 NEVIN MALONE
Individual
Technician (Attendant Care Provider)4747 W 24TH AVE
GARY, IN 46406
(219) 240-8615
1962871194 MELINDA MCINTOSH I LPN
Individual
Licensed Practical Nurse4747 W 24TH AVE
GARY, IN 46406
(219) 240-8615
1407226608EDGEWATER SYSTEMS
Organization
Substance Abuse Rehabilitation Facility4747 W 24TH AVE
GARY, IN 46406
(219) 240-8615
1871965384 DANIELLE ELIZABETH CARTER LPN
Individual
Licensed Practical Nurse4747 W 24TH AVE
GARY, IN 46406
(219) 240-8615
1326410838 ELIZABETH MARIE HARRIS MHT
Individual
Community Based Residential Treatment Facility, Mental Illness4747 W 24TH AVE
GARY, IN 46406
(219) 240-8615
1588036974 DEMIA CHANDLER MENTAL HEALTH TECH
Individual
Nurse's Aide4747 W 24TH AVE
GARY, IN 46406
(219) 240-8615
1205373347MRS. TERRONDA HURN RN
Individual
Registered Nurse4747 W 24TH AVE
GARY, IN 46406
(219) 240-8615
1184153827 STACEY WILLIAMS RN
Individual
Registered Nurse (Administrator)4747 W 24TH AVE
GARY, IN 46406
(219) 240-8615
1154819597 ZAKIA BRODNAX
Individual
Technician, Health Information (Assistant Record Technician)4747 W 24TH AVE
GARY, IN 46406
(219) 240-8615
1770960536EDGEWATER SYSTEMS FOR BALANCED LIVING, INC
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)4747 W 24TH AVE
GARY, IN 46406
(219) 977-0110
1033697032 LADONNA LUCILLE BELL
Individual
Registered Nurse (Addiction (Substance Use Disorder))4747 W 24TH AVE
GARY, IN 46406
(219) 885-4264
1194384073 KHALIAH AMANI HERBERT
Individual
Technician, Health Information4747 W 24TH AVE
GARY, IN 46406
(219) 885-4264
1982213468 IRIS JEFFRIES
Individual
Technician (Attendant Care Provider)4747 W 24TH AVE
GARY, IN 46406
(219) 240-8615
1184757320MIDDLE PASSAGE, INCORPORATED
Organization
Community/Behavioral Health4747 W 24TH AVE
GARY, IN 46406
(219) 949-4747
1265049845 REBECCA SOBOLESKI
Individual
Peer Specialist4747 W 24TH AVE
GARY, IN 46406
(219) 885-4264

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235695206, enumerated in the NPI registry as an "individual" on February 14, 2019

The provider is located at 4747 W 24th Ave Gary, In 46406 and the phone number is (219) 240-8615

The provider's speciality is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X

This NPI record was last updated on February 14, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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