Provider Demographics
NPI:1073259974
Name:THEKEY OF MASSACHUSETTS, LLC
Entity Type:Organization
Organization Name:THEKEY OF MASSACHUSETTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE ASSOCIATE
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CYGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-287-3077
Mailing Address - Street 1:7777 FAY AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-4325
Mailing Address - Country:US
Mailing Address - Phone:877-958-2562
Mailing Address - Fax:
Practice Address - Street 1:60 LEO M BIRMINGHAM PKWY STE 205&B208
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02135-1123
Practice Address - Country:US
Practice Address - Phone:877-958-2562
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care