Healthcare Provider Details

I. General information

NPI: 1013780972
Provider Name (Legal Business Name): SAFEKEY STAFFING AND RESPITE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2023
Last Update Date: 11/02/2023
Certification Date: 11/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 N MAIN STREET SUITE D
WARRENTON NC
27589
US

IV. Provider business mailing address

PO BOX 355
WARRENTON NC
27589-0355
US

V. Phone/Fax

Practice location:
  • Phone: 252-879-0211
  • Fax:
Mailing address:
  • Phone: 252-431-5818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MISS KEYSHAE KADACE SIMMONS
Title or Position: OWNER/CEO
Credential: RN
Phone: 434-738-5605