Organization Active NPI

Key of Life Cares, LLC

  • Home Health Agency
  • Macon, GA
National Provider Identifier
1508455452
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KEY OF LIFE CARES, LLC
Practice address
3040 Riverside Dr
Macon, GA 31210-2521
Phone
(478) 973-5055
NPI assigned
Jan 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Authorized official

Name
Dr. Shekeita Stephens, PHD
Title
Owner
Phone
(478) 973-5055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3040 Riverside Dr
Macon, GA 31210-2521

Mailing address

350 Amanda Dr
Macon, GA 31216-6388
Phone (478) 973-5055

Other names 1

  • Key of Life Cares, LLC Doing business as

National Provider Directory

National Provider Directory

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": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1508455452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 AMANDA DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312166388",
            "telephone_number": "478-973-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 RIVERSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102521",
            "telephone_number": "478-973-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY OF LIFE CARES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "SHEKEITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-973-5055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Key of Life Cares, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.