Keystyle Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11852 Issued in FL

Legal business name

KEYSTYLE LIVING, LLC

Doing business as

Bayshore Guest Home

Practice address

512 Bayshore Rd
Nokomis, FL 34275-1912

Phone

(941) 484-1222

Fax

(941) 485-6808

NPI assigned

Dec 30, 2010

Last updated

Dec 30, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Monica Elizabeth Dowhan

Title

Owner/Administrator

Phone

(941) 484-1222

Specialties & licenses 8

Addresses

Other names 1

• Bayshore Guest Home Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293667200000",
    "number": "1023312386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 BAYSHORE RD",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342751912",
            "telephone_number": "941-484-1222",
            "fax_number": "941-485-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 BAYSHORE RD",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342751912",
            "telephone_number": "941-484-1222",
            "fax_number": "941-485-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTYLE LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-30",
        "last_updated": "2010-12-30",
        "status": "A",
        "authorized_official_last_name": "DOWHAN",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "941-484-1222",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11852",
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "FL",
            "license": "AL11852",
            "primary": false
        },
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "FL",
            "license": "AL11852",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "FL",
            "license": "AL11852",
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "FL",
            "license": "AL11852",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "AL11852",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "FL",
            "license": "AL11852",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "FL",
            "license": "AL11852",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayshore Guest Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara C Johnson
• Justin Ross Wasserman MD PL
• Dorothy J Kellum, LMT
• Pieter Daniel Kemp, LMT
• Key Pediatric Therapy LLC
• June R Kirby, LMT
• James E Klein, MD
• Mark Koehl, PHARMD
• Christine Ann Kotlarski, LCSW
• Jacob Leonard

• Assisted Living Facility in Nokomis, FL
• Providers in Nokomis, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.