Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1427646025 Individual Practitioner Male Practitioner

Kelly Sample

Homemaker • Chardon, OH

Professional Overview & Biography Verified Profile Summary

Kelly Sample is a registered healthcare professional specializing in Homemaker in Chardon, OH. Practice services are available at 12065 NICKI LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12065 Nicki Ln

Chardon, OH 440248941

Telephone 4402260867

Specialty Benchmarks & Practice Insights

Comparative analytics for Homemaker in Chardon, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
21 Specialists

Practicing in Chardon, OH (6779 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-01-08
Homemaker Primary Specialty

NUCC Taxonomy Code: 376J00000X

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Mary Gotliebowski

In Home Supportive Care

NPI 1811740954

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 08, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location January 08, 2021

Registered at 12065 NICKI LN, CHARDON, OH 440248941 (Tel: 4402260867)

📍
Updated Business Mailing Address January 08, 2021

Registered at 12065 NICKI LN, CHARDON, OH 440248941 (Tel: 4402260867)

👤
Provider Name / Credentials Updated January 08, 2021

Recorded as KELLY SAMPLE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2021

Homemaker

🟢
Initial NPI Registration & Enumeration January 08, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427646025
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2021
Last Update: January 08, 2021
Sole Proprietor: Yes

Mailing Address

12065 Nicki Ln

Chardon, OH 440248941

Phone: 4402260867

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.