Organization Active NPI

Key to Life Care Agency

  • Home Health Agency
  • Detroit, MI
National Provider Identifier
1417710385
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KEY TO LIFE CARE AGENCY
Doing business as
Key To Life Care Agency
Practice address
11015 Craft St
Detroit, MI 48224-2433
Phone
(313) 466-0486
NPI assigned
Feb 2, 2024
Organization subpart
Yes
Parent organization
-As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Teasha GriffinNPI 1538936364
Title
Owner
Phone
(313) 466-0486

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X
Home Health Agency 251E00000X Primary
Voluntary or Charitable Agency 251V00000X
In Home Supportive Care Agency 253Z00000X
Home Delivered Meals 332U00000X
Non-emergency Medical Transport (VAN) 343900000X
Chore ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 372500000X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X

Addresses

Primary practice location

11015 Craft St
Detroit, MI 48224-2433

Mailing address

28401 Mound Rd Unit 266
Warren, MI 48090-7210
Phone (313) 466-0486

Other names 1

  • Key To Life Care Agency Doing business as

National Provider Directory

National Provider Directory
Part of
Key to Life Care Agency

Locations

28401 Mound Rd
Unit 266
Warren, MI 48090

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1417710385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28401 MOUND RD UNIT 266",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480907210",
            "telephone_number": "313-466-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11015 CRAFT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242433",
            "telephone_number": "313-466-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY TO LIFE CARE AGENCY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "-",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "TEASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-466-0486"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Key To Life Care Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.