Key Independent Living Home

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

KEY INDEPENDENT LIVING HOME

Doing business as

Key Independent Living Home

Practice address

19414 Maple Heights Blvd
Maple Heights, OH 44137-2380

Phone

(216) 538-4784

NPI assigned

Feb 1, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Keyaita Roberson

Title

Agency Owner

Phone

(216) 538-4784

Specialties & licenses 1

Addresses

Other names 1

• Key Independent Living Home Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keyatia R Roberson

  • Homemaker
  • Maple Heights, OH
  • NPI 1801592944

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1376249433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19414 MAPLE HEIGHTS BLVD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441372380",
            "telephone_number": "216-538-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19414 MAPLE HEIGHTS BLVD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441372380",
            "telephone_number": "216-538-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY INDEPENDENT LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "KEYAITA",
        "authorized_official_title_or_position": "AGENCY OWNER",
        "authorized_official_telephone_number": "216-538-4784",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Key Independent Living Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marva M Jordan
• Rachel Kelley
• Iesha Theresa Kelly, LPN
• Alayna Patrece Kennedy, LPN M-IV
• Emily Kerensky
• Danyell M Kilgore, INDEPENDENT PROVIDER
• Christopher Kilmer, RN
• Sidiky Kima
• Teara Kimble-Jones
• Jayree Tarrell Kimbro

• Homemaker in Maple Heights, OH
• Providers in Maple Heights, OH by specialty
• Homemaker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.