Organization
KEY CARES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. QIANA J JOHNSON (CEO)
(310) 869-8942
Entity
Organization
Contact information
Practice address
12100 WILSHIRE BLVD STE 800, LOS ANGELES, CA 90025-7140
(310) 869-8942
Mailing address
12100 WILSHIRE BLVD STE 800, LOS ANGELES, CA 90025-7140
(310) 869-8942
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HOMECARE
COMPANION
CA
Enumeration date
12/13/2022
Last updated
12/13/2022
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