Provider Demographics
NPI:1942956701
Name:THEKEY OF SOUTH CAROLINA, LLC
Entity Type:Organization
Organization Name:THEKEY OF SOUTH CAROLINA, LLC
Other - Org Name:HOME CARE ASSISTANCE OF SOUTH CAROLINA, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:COMPLIANCE ASSOCIATE
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:CYGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-287-3077
Mailing Address - Street 1:7777 FAY AVE
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-4327
Mailing Address - Country:US
Mailing Address - Phone:877-958-2562
Mailing Address - Fax:
Practice Address - Street 1:133 THOMAS GREEN BLVD STE 204
Practice Address - Street 2:
Practice Address - City:CLEMSON
Practice Address - State:SC
Practice Address - Zip Code:29631-2197
Practice Address - Country:US
Practice Address - Phone:864-289-9897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-01
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care