Healthcare Provider Details

I. General information

NPI: 1376494591
Provider Name (Legal Business Name): KEY TO LIFE COMMUNITY PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2026
Last Update Date: 02/04/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15793 EL DORADO DRIVE
CORNING CA
96021
US

IV. Provider business mailing address

455 MARKET ST STE 1940 PMB 450227
SAN FRANCISCO CA
94105-2448
US

V. Phone/Fax

Practice location:
  • Phone: 530-209-7148
  • Fax:
Mailing address:
  • Phone: 530-209-7148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH HUGHES
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: SUDCC # 16996
Phone: 530-209-7148