Provider Demographics
NPI:1578580122
Name:KEYCARE NURSING SERVICES
Entity Type:Organization
Organization Name:KEYCARE NURSING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MOSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:1614-527-8480
Mailing Address - Street 1:5378 WHIRLWIND COVE DR
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-8300
Mailing Address - Country:US
Mailing Address - Phone:614-527-8480
Mailing Address - Fax:614-771-8952
Practice Address - Street 1:5378 WHIRLWIND COVE DR
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-8300
Practice Address - Country:US
Practice Address - Phone:614-527-8480
Practice Address - Fax:614-771-8952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 275159251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2763942Medicaid
OH2763942Medicaid