Kea Enterprises LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KEA ENTERPRISES LLC

Practice address

3724 Riviere Marne CT
Florissant, MO 63034-3101

Phone

(636) 200-8646

NPI assigned

Jun 27, 2023

Organization subpart

No

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

Authorized official

Name

Kelly Lazarus, LMSWNPI 1275261042

Title

Area Director

Phone

(636) 200-8646

Specialties & licenses 1

Addresses

Other names 1

• Acti-Kare Responsive In-Home Care Other name

Practitioners 1

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

• Kelly Dionne Lazarus, LMSW

  • In Home Supportive Care Agency
  • Florissant, MO
  • NPI 1275261042
  NPD Authorized official

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1861178584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 CLARKSON RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174976",
            "telephone_number": "636-200-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 RIVIERE MARNE CT",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630343101",
            "telephone_number": "636-200-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEA ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "LAZARUS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "AREA DIRECTOR",
        "authorized_official_telephone_number": "636-200-8646",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acti-Kare Responsive In-Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Acti-Kare Responsive In-Home Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Karing Hands CDS
• Michael Kateman
• Kurt W Kaufman, D.P.M.
• Chandra S Kaup, MD
• Andrew M Kazdan, MD
• Jessica May Keay, D.V.M.
• Martha Keegan, R.PH.
• Rachel Kelleher, OTR
• Jean E Kelley, BSN, RN
• Hilary Marie Kelly, DPT

• In Home Supportive Care Agency in Florissant, MO
• Providers in Florissant, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.