Healthcare Provider Details

I. General information

NPI: 1104962208
Provider Name (Legal Business Name): KEA,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 09/02/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2911 CAMERON ST
MONROE LA
71201-3713
US

IV. Provider business mailing address

2911 CAMERON ST STE A
MONROE LA
71201-3713
US

V. Phone/Fax

Practice location:
  • Phone: 318-651-9363
  • Fax:
Mailing address:
  • Phone: 318-699-8606
  • Fax: 318-651-9251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number1476030
License Number StateLA

VIII. Authorized Official

Name: MR. KERRY JEFFERSON SCOTT
Title or Position: ADMINISTRATOR
Credential: LAC
Phone: 318-651-9363