Provider Demographics
NPI:1023808839
Name:KELLRIDGE COMPASSION CARE LLC.
Entity type:Organization
Organization Name:KELLRIDGE COMPASSION CARE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:SHAYE
Authorized Official - Last Name:KELLER
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:404-903-5068
Mailing Address - Street 1:146 CHAPEL LK S
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-6802
Mailing Address - Country:US
Mailing Address - Phone:404-903-5068
Mailing Address - Fax:
Practice Address - Street 1:146 CHAPEL LK S
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419-6802
Practice Address - Country:US
Practice Address - Phone:404-903-5068
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care