Provider Demographics
NPI:1679818215
Name:BRONZE KEY, LLC
Entity Type:Organization
Organization Name:BRONZE KEY, LLC
Other - Org Name:BRONZE KEY HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AGENCY ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:A
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:312-929-0999
Mailing Address - Street 1:3849 S MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60653-1513
Mailing Address - Country:US
Mailing Address - Phone:312-929-0999
Mailing Address - Fax:312-674-7550
Practice Address - Street 1:3849 S MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60653-1513
Practice Address - Country:US
Practice Address - Phone:312-929-0999
Practice Address - Fax:312-674-7550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-09
Last Update Date:2012-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011528251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health