Provider Demographics
NPI:1437687639
Name:KEYS LOVING HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:KEYS LOVING HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER /DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:KEYS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-277-9455
Mailing Address - Street 1:4122 DRESSELL AVENUE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63120-1402
Mailing Address - Country:US
Mailing Address - Phone:314-277-9455
Mailing Address - Fax:314-376-5525
Practice Address - Street 1:4122 DRESSELL AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63120-1402
Practice Address - Country:US
Practice Address - Phone:314-277-9455
Practice Address - Fax:314-376-5525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health