Provider Demographics
NPI:1700332145
Name:KEYSGROUPHOLDINGS LLC
Entity Type:Organization
Organization Name:KEYSGROUPHOLDINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AR DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:
Authorized Official - Last Name:TENCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-250-0283
Mailing Address - Street 1:110 WESTWOOD PL
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5075
Mailing Address - Country:US
Mailing Address - Phone:615-250-0283
Mailing Address - Fax:615-250-1000
Practice Address - Street 1:110 WESTWOOD PL
Practice Address - Street 2:SUITE 100
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5075
Practice Address - Country:US
Practice Address - Phone:615-250-0283
Practice Address - Fax:615-250-1000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-26
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1457921Medicaid