Provider Demographics
NPI:1437828845
Name:THEKEY OF MICHIGAN LLC
Entity Type:Organization
Organization Name:THEKEY OF MICHIGAN LLC
Other - Org Name:HOME CARE ASSISTANCE OF MICHIGAN, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:COMPLIANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:SAMANTHA
Authorized Official - Last Name:JARNOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-539-9847
Mailing Address - Street 1:4450 CASCADE RD SE STE 200
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-3688
Mailing Address - Country:US
Mailing Address - Phone:616-301-2000
Mailing Address - Fax:
Practice Address - Street 1:4450 CASCADE RD SE STE 200
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-3688
Practice Address - Country:US
Practice Address - Phone:616-301-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-09
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care