Provider Demographics
NPI:1689673782
Name:KEY CARE HOME HEALTH AGENCY
Entity type:Organization
Organization Name:KEY CARE HOME HEALTH AGENCY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:INTERIM C E O
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-527-1511
Mailing Address - Street 1:70 LINCOLN HWY E
Mailing Address - Street 2:
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-3141
Mailing Address - Country:US
Mailing Address - Phone:724-527-0280
Mailing Address - Fax:724-527-5922
Practice Address - Street 1:70 LINCOLN HWY E
Practice Address - Street 2:
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644-3141
Practice Address - Country:US
Practice Address - Phone:724-527-0280
Practice Address - Fax:724-527-5922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-20
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA720605251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007572830028Medicaid
PA0718OtherHIGHMARK
PA97784OtherHEALTH AMERICA
PA1007572830028Medicaid