Keys 2 a 2ND Chance, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

160007 Issued in OH

Legal business name

KEYS 2 A 2ND CHANCE, LLC

Practice address

3268 Aris St NW
Warren, OH 44485-1605

Phone

(330) 506-6035

NPI assigned

Oct 1, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Virginia L Holmes, CDCA INPI 1619700465

Title

Director

Phone

(330) 506-6035

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Virginia L Holmes

  • Case Manager/Care Coordinator
  • Warren, OH
  • NPI 1619700465
  NPD (past) Authorized official

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

{
    "created_epoch": "1475280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475280000000",
    "number": "1063961035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3268 ARIS ST NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444851605",
            "telephone_number": "330-506-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3268 ARIS ST NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444851605",
            "telephone_number": "330-506-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYS 2 A 2ND CHANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-01",
        "last_updated": "2016-10-01",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "330-506-6035",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CDCA I"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OH",
            "license": "160007",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary E Kelty, LPN
• Kenneth D. Lapolla, D.D.S,, Inc
• Kenneth E. Jones, M.D., Inc.
• Sandra Kernen, ED S
• Bryan James Kesling
• Keystone Rehabilitation Associates of Warren
• Kartar S Khanuja, M.D.
• Subhash Khaterpaul, MD
• Parisa Khavari, M.D.
• Ronald Nazem Khoury, MD

• Case Management Agency in Warren, OH
• Providers in Warren, OH by specialty
• Case Management Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2016; 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.