Healthcare Provider Details

I. General information

NPI: 1942911318
Provider Name (Legal Business Name): KEY ENGAGEMENT IN TEXAS HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2022
Last Update Date: 07/04/2023
Certification Date: 07/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2944 MOTLEY DR STE 100A
MESQUITE TX
75150-3405
US

IV. Provider business mailing address

1316 ROSENBERG DR
FORNEY TX
75126-3535
US

V. Phone/Fax

Practice location:
  • Phone: 214-476-1222
  • Fax:
Mailing address:
  • Phone: 214-476-1222
  • 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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MR. QUINTHEIS K ELSE
Title or Position: ADMINISTRATOR
Credential:
Phone: 214-476-1222