Organization Active NPI

Keylal Homecare LLC

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1013521723
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KEYLAL HOMECARE LLC
Practice address
7605 Brookhaven Rd
Philadelphia, PA 19151-2023
Phone
(267) 402-7910
NPI assigned
Sep 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sakeeyah Bolden
Title
President
Phone
(267) 402-7910

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

7605 Brookhaven Rd
Philadelphia, PA 19151-2023

Mailing address

7605 Brookhaven Rd
Philadelphia, PA 19151-2023

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1013521723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 BROOKHAVEN RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7605 BROOKHAVEN RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512023",
            "telephone_number": "267-402-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYLAL HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "BOLDEN",
        "authorized_official_first_name": "SAKEEYAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-402-7910"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.