Healthcare Provider Details

I. General information

NPI: 1831013259
Provider Name (Legal Business Name): KEYS TO THE HEART LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1127 RIVINGTON ST
ROSELLE NJ
07203-2723
US

IV. Provider business mailing address

59 CHELSEA AVE FL 2
NEWARK NJ
07106-1213
US

V. Phone/Fax

Practice location:
  • Phone: 732-522-3243
  • Fax:
Mailing address:
  • Phone: 973-980-6530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE GAILLARD
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 973-980-6530