Key Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KEY LIVING, LLC

Practice address

842 102ND LN NE
Blaine, MN 55434-2642

Phone

(651) 338-3976

NPI assigned

Apr 4, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Emmanuel Uzoma Godwin

Title

Ceo/Lald

Phone

(651) 338-3976

Specialties & licenses 1

Addresses

Other names 1

• N/A Other name

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

CLIA laboratory certificates

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1144925561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 102ND LN NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554342642",
            "telephone_number": "651-338-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 102ND LN NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554342642",
            "telephone_number": "651-338-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "GODWIN",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "UZOMA",
        "authorized_official_title_or_position": "CEO/LALD",
        "authorized_official_telephone_number": "651-338-3976",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in Blaine, MN
• Providers in Blaine, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.