Keys to Serenity Caregivers LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KEYS TO SERENITY CAREGIVERS LLC

Practice address

1546 Berry Blvd
Louisville, KY 40215-1955

Phone

(704) 891-6883

Fax

(980) 236-8333

NPI assigned

Feb 2, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Tyrell Fulwood

Title

Co-Provider

Phone

(704) 891-6883

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1205532140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8036 MCGARRY TRL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282147649",
            "telephone_number": "704-891-6883",
            "fax_number": "980-236-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 BERRY BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151955",
            "telephone_number": "704-891-6883",
            "fax_number": "980-236-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYS TO SERENITY CAREGIVERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "FULWOOD",
        "authorized_official_first_name": "TYRELL",
        "authorized_official_title_or_position": "CO-PROVIDER",
        "authorized_official_telephone_number": "704-891-6883",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarence Scott Key
• Diane McGregor Key, TEACHER OF VISUALLY
• Kylie Key, PT, DPT
• Monica T Key, APRN
• Makayla Keyes, RBT
• Barbara Suzanne Keys, APRN, PMHNP
• Glen Thomas Keys, OD
• Karri Anne Keys, R.D., L.D.
• Emily Keyser
• Keystone Services, Inc Dba

• Home Health Agency in Louisville, KY
• Providers in Louisville, KY by specialty
• Home Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.