Key West PD, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KEY WEST PD, LLC

Doing business as

Island Private Care

Practice address

22978 Overseas Hwy
Cudjoe Key, FL 33042-4254

Phone

(305) 298-4466

Fax

(305) 289-4433

NPI assigned

Jul 10, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Patrick T. Lyles

Title

Sr. VP Administration

Phone

(502) 891-1044

Specialties & licenses 1

Addresses

Other names 1

• Island Private Care Doing business as

Locations

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499644800000",
    "number": "1114449428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235016",
            "telephone_number": "502-891-1000",
            "fax_number": "502-891-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22978 OVERSEAS HWY",
            "city": "CUDJOE KEY",
            "state": "FL",
            "postal_code": "330424254",
            "telephone_number": "305-298-4466",
            "fax_number": "305-289-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY WEST PD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-10",
        "last_updated": "2017-07-10",
        "status": "A",
        "authorized_official_last_name": "LYLES",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "SR. VP ADMINISTRATION",
        "authorized_official_telephone_number": "502-891-1044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Private Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Scott Dimse, M.D.
• James W. Farrell, R.PH.
• Jean A Gormley, D.O.M., A.P., D.C.
• Susan Trimmer Kahn, LPN
• Key West Hma Physician Management, LLC
• Robert L Murray, CRNA
• Cynthia Nichols Sandhusen, D.V.M
• Richard Elliott Schugar, O.D.
• Georgia Sue Tipsword, OT

• Home Health Agency in Cudjoe Key, FL
• Providers in Cudjoe Key, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; 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.