Provider Demographics
NPI:1942911318
Name:KEY ENGAGEMENT IN TEXAS HEALTHCARE LLC
Entity Type:Organization
Organization Name:KEY ENGAGEMENT IN TEXAS HEALTHCARE LLC
Other - Org Name:KEY ENGAGEMENT IN TEXAS HEALTHCARE, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:QUINTHEIS
Authorized Official - Middle Name:K
Authorized Official - Last Name:ELSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-476-1222
Mailing Address - Street 1:1316 ROSENBERG DR
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-3535
Mailing Address - Country:US
Mailing Address - Phone:214-476-1222
Mailing Address - Fax:
Practice Address - Street 1:2944 MOTLEY DR STE 100A
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-3405
Practice Address - Country:US
Practice Address - Phone:214-476-1222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-07
Last Update Date:2023-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX021180OtherHHSC-PAS
TX021180OtherPERSONAL ASSISTANCE SERVICES LICENSE
TX021180OtherLICENSE NUMBER