Healthcare Provider Details

I. General information

NPI: 1033715149
Provider Name (Legal Business Name): KEY TO CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2020
Last Update Date: 12/05/2020
Certification Date: 12/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4131 N AUDUBON RD
INDIANAPOLIS IN
46226-4742
US

IV. Provider business mailing address

4131 N AUDUBON RD
INDIANAPOLIS IN
46226-4742
US

V. Phone/Fax

Practice location:
  • Phone: 219-614-0359
  • Fax: 219-533-4066
Mailing address:
  • Phone: 219-614-0359
  • Fax: 219-533-4066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: KEYANA BOYD
Title or Position: CEO
Credential:
Phone: 219-614-0359