Provider Demographics
NPI:1235425844
Name:CAREGIVERS OF THE KEYS, INC.
Entity Type:Organization
Organization Name:CAREGIVERS OF THE KEYS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-872-9788
Mailing Address - Street 1:PO BOX 430067
Mailing Address - Street 2:
Mailing Address - City:BIG PINE KEY
Mailing Address - State:FL
Mailing Address - Zip Code:33043-0067
Mailing Address - Country:US
Mailing Address - Phone:305-872-9788
Mailing Address - Fax:
Practice Address - Street 1:30383 QUAIL ROOST TRL
Practice Address - Street 2:
Practice Address - City:BIG PINE KEY
Practice Address - State:FL
Practice Address - Zip Code:33043-3350
Practice Address - Country:US
Practice Address - Phone:305-872-9788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-22
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLNR30211201253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL684907598Medicaid
FL684907596Medicaid
FL685490700Medicaid