Provider Demographics
NPI:1750913703
Name:KEY ADVANTAGE HOME CARE LLC
Entity type:Organization
Organization Name:KEY ADVANTAGE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DESHONDRA
Authorized Official - Middle Name:MARIAH
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-386-4118
Mailing Address - Street 1:201 BEACON PKWY W STE 111
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-3129
Mailing Address - Country:US
Mailing Address - Phone:205-386-4118
Mailing Address - Fax:205-943-9059
Practice Address - Street 1:201 BEACON PKWY W STE 111
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209-3129
Practice Address - Country:US
Practice Address - Phone:205-386-4118
Practice Address - Fax:205-943-9059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-07
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)