Healthcare Provider Details

I. General information

NPI: 1134804651
Provider Name (Legal Business Name): THEKEY CONCIERGE NURSING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2023
Last Update Date: 10/29/2024
Certification Date: 10/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 W YAMATO RD STE 520
BOCA RATON FL
33431-4475
US

IV. Provider business mailing address

7777 FAY AVE STE 210
LA JOLLA CA
92037-4325
US

V. Phone/Fax

Practice location:
  • Phone: 561-736-1422
  • Fax:
Mailing address:
  • Phone: 858-287-3077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SEAN CYGAN
Title or Position: COMPLIANCE ASSOCIATE
Credential:
Phone: 858-287-3077