Provider Demographics
NPI:1568916013
Name:KEYLINE HOME CARE SOLUTIONS, LLC
Entity Type:Organization
Organization Name:KEYLINE HOME CARE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BERNAE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMBRIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-522-8838
Mailing Address - Street 1:34 CASHEL CT
Mailing Address - Street 2:
Mailing Address - City:VILLA RICA
Mailing Address - State:GA
Mailing Address - Zip Code:30180-1441
Mailing Address - Country:US
Mailing Address - Phone:770-882-8015
Mailing Address - Fax:
Practice Address - Street 1:34 CASHEL CT
Practice Address - Street 2:
Practice Address - City:VILLA RICA
Practice Address - State:GA
Practice Address - Zip Code:30180-1441
Practice Address - Country:US
Practice Address - Phone:770-882-8015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-12
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care