Individual provider · Type 1 NPI

Jake L. Kelly

Personal Care Attendant · Philadelphia, PA

NPI number 1992641542 Active

Practice location

5350 Gainor Rd
Philadelphia, PA 19131-2338

Call (610) 605-0558 Map

Mailing address

4012 Reno St
Philadelphia, PA 19104-4827

Specialties and licenses

Taxonomy	Code	License
Personal Care Attendant Primary	3747P1801X	None listed

Personal Care Attendant: An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

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About NPI 1992641542

Jake L. Kelly's National Provider Identifier is 1992641542, issued on Apr 27, 2026. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 27, 2026.