Healthcare Provider Details

I. General information

NPI: 1316156268
Provider Name (Legal Business Name): KEA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2911 CAMERON ST STE A
MONROE LA
71201-3713
US

IV. Provider business mailing address

2911 CAMERON ST
MONROE LA
71201-3713
US

V. Phone/Fax

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

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 Code311Z00000X
TaxonomyCustodial Care Facility
License Number1624802
License Number StateLA

VIII. Authorized Official

Name: MR. KERRY J SCOTT
Title or Position: CEO
Credential: LAC
Phone: 318-699-8606