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NPI Code Detail

MEDICARE: KEY CARES LLC

MEDICARE: KEY CARES LLC
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
1251E00000XHome Health Agency
2372600000XAdult Companion
3374U00000XHome Health Aide
4376J00000XHomemaker
5376K00000XNurse's Aide
6253Z00000XIn Home Supportive Care Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HOMECAREOTHERCACOMPANION
2HOMECAREOTHERCAPERSONAL CARE

General Provider Information

NPI Number : 1871204693
Entity Type Code : Organization
Provider Name (Legal Business Name) : KEY CARES LLC
Provider Business Mailing Address
First Line : 12100 WILSHIRE BLVD STE 800
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-7140
Country : US
Telephone Number : 310-869-8942
Fax Number :
Provider Business Practice Location Address
First Line : 12100 WILSHIRE BLVD STE 800
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-7140
Country : US
Telephone Number : 310-869-8942
Fax Number :
Authorized Official
Title or Position : CEO
Name : MS. QIANA J JOHNSON
Credential :
Telephone Number : 310-869-8942
Provider Enumeration Date : 12/13/2022
Last Update Date : 12/13/2022

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Directions to “KEY CARES LLC ” Practice Location

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