Key Life Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KEY LIFE HOME CARE, LLC

Doing business as

Key Life Home Care, Llc

Practice address

13641 Stepney LN
Chantilly, VA 20151-3412

Phone

(703) 867-7709

NPI assigned

Jan 4, 2024

Last updated

Jan 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Glenda Avalos

Title

Program Director

Phone

(703) 867-7709

Specialties & licenses 1

Addresses

Other names 1

• Key Life Home Care, Llc Doing business as

Tax ID family

Key Life Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Key Life Home Care, LLP

  • In Home Supportive Care Agency
  • San Antonio, TX
  • NPI 1306607395
  NPD tax ID

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1619747227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13641 STEPNEY LN",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513412",
            "telephone_number": "703-867-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13641 STEPNEY LN",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201513412",
            "telephone_number": "703-867-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY LIFE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "AVALOS",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "703-867-7709"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Key Life Home Care, Llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joann Caryl Kelly, PH,D.
• Kathleen Kelly, LCSW
• Keough Senior Living LLC
• Sara Lucas Kepple, DO
• Kody S Kettle
• Rayan Tariq Khalid
• Kanwal S Khan, MD
• Mariam Nouman Khan
• Monsurul H Khan, MD
• Shaghayegh Khanjani

• In Home Supportive Care Agency in Chantilly, VA
• Providers in Chantilly, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.