Key Supports & Residential Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KEY SUPPORTS & RESIDENTIAL SERVICES, LLC

Practice address

1608 E 1100 S
Springville, UT 84663-3242

Phone

(801) 367-4589

NPI assigned

Sep 27, 2022

Organization subpart

No

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

Authorized official

Name

Stacie Webber-Montoya

Title

Owner

Phone

(801) 367-4589

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1972227585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 E 1100 S",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846633242",
            "telephone_number": "801-367-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 E 1100 S",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846633242",
            "telephone_number": "801-367-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY SUPPORTS & RESIDENTIAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "WEBBER-MONTOYA",
        "authorized_official_first_name": "STACIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-367-4589"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.