MEDICARE: SILVER KEY SENIOR SERVICES, INC

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1750895983
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SILVER KEY SENIOR SERVICES, INC

Provider Business Mailing Address
First Line	:	1625 S MURRAY BLVD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80916-4502
Country	:	US
Telephone Number	:	719-884-2300
Fax Number	:	719-884-2301

Provider Business Practice Location Address
First Line	:	1625 S MURRAY BLVD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80916-4502
Country	:	US
Telephone Number	:	719-884-2300
Fax Number	:	719-884-2301

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	JASON DEABUENO
Credential	:
Telephone Number	:	719-884-2310

Provider Enumeration Date	:	11/27/2017
Last Update Date	:	06/04/2019

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