# KELLY HOME CARE SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kelly Assisted Living Services, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831249432
- **Authorized official:** MRS. MICHELLE (SHELLE) R WOMBLE (BUSINESS UNIT LEADER)
- **Authorized official phone:** (248) 244-4917

## Contact information

- **Practice address:** 999 W BIG BEAVER RD, TROY, MI 48084-4716
- **Practice address phone:** (248) 362-4444
- **Practice address fax:** (248) 244-5247
- **Mailing address:** 999 W BIG BEAVER RD, TROY, MI 48084-4716
- **Mailing address phone:** (248) 362-4444
- **Mailing address fax:** (248) 244-5247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 003064 | TX | — |
| 251E00000X | Home Health Agency | 025-R-0009 | GA | — |
| 251E00000X | Home Health Agency | 044-R-0003 | GA | — |
| 251E00000X | Home Health Agency | 121-R-0022 | GA | — |
| 251E00000X | Home Health Agency | 15-2036 | OR | — |
| 251E00000X | Home Health Agency | 20609096 | FL | Yes |
| 251E00000X | Home Health Agency | HC0054 | NC | — |
| 251E00000X | Home Health Agency | HC0055 | NC | — |
| 251E00000X | Home Health Agency | HC0056 | NC | — |
| 251E00000X | Home Health Agency | HC0246 | NC | — |
| 251E00000X | Home Health Agency | HCO-07142 | VA | — |
| 251E00000X | Home Health Agency | HCO-07145 | VA | — |
| 251E00000X | Home Health Agency | HCO-07291 | VA | — |
| 251E00000X | Home Health Agency | HCO-07312 | VA | — |
| 251E00000X | Home Health Agency | IS-355 | WA | — |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 09/11/2025