Sober Living by Keyes, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SOBER LIVING BY KEYES, LLC

Practice address

634 Evergreen Dr
Lake Park, FL 33403-3208

Phone

(561) 889-1027

NPI assigned

May 2, 2016

Organization subpart

No

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

Authorized official

Name

Kerroullio Toussaint

Title

Owner

Phone

(561) 889-1027

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1164877759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 N MILITARY TRL",
            "address_2": "UNIT E",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334092625",
            "telephone_number": "561-889-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 EVERGREEN DR",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334033208",
            "telephone_number": "561-889-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBER LIVING BY KEYES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "TOUSSAINT",
        "authorized_official_first_name": "KERROULLIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-889-1027"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon T. Jones, LCSW, Inc.
• Ebony Sherman
• Alan F Simcich, R.PH.
• Sivana Simon
• Stacy-Ann Simone Smith, D.C.
• South Florida Medical Centers Inc (SFMC Group of Lake Park)
• Henry Kay Stark, D.P.M.
• Lindsay M Stropp
• Sunrizas Therapy Inc
• Sunshine State Treatment Center, LLC

• Case Management Agency in Lake Park, FL
• Providers in Lake Park, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.