MEDICARE: NITASHA KEYES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1215692801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NITASHA KEYES

Provider Business Mailing Address
First Line	:	5577 AIRPORT HWY STE 200
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43615-7364
Country	:	US
Telephone Number	:	419-720-0442
Fax Number	:	419-754-2085

Provider Business Practice Location Address
First Line	:	20001 EUCLID AVE
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44117-1480
Country	:	US
Telephone Number	:	216-465-9942
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2021
Last Update Date	:	05/07/2026

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Directions to “ NITASHA KEYES ” Practice Location

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