Keyanna S Healthcare

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KEYANNA S HEALTHCARE

Practice address

107 Trestle CT
Stockbridge, GA 30281-3057

Phone

(470) 591-5063

NPI assigned

Jun 22, 2020

Organization subpart

No

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

Authorized official

Name

Keyanna Willis

Title

Owner

Phone

(470) 591-5063

Specialties & licenses 1

Addresses

Other names 1

• Caring Matters Home Care 042 Doing business as

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1124644695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 TRESTLE CT",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 TRESTLE CT",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813057",
            "telephone_number": "470-591-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYANNA S HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "KEYANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-591-5063"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caring Matters Home Care 042",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ross Matthew Kennamer-Chapman, MD
• Martin Lynn Kenser
• Dawn P Kentish Bennett, MSW, LICSW
• Graham Adams Kercher, PT, DPT
• David Michael Key, RPH
• Keystone Counseling Center
• Keystone Counseling Center
• Khair Family Practice, PC
• Sam A. Khair, M.D.
• Samuel Eric Khair, DO

• In Home Supportive Care Agency in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.