KEY WEST PD, LLC (NPI# 1114449428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114449428 |
| Entity Type | Organization |
| Organization Name | KEY WEST PD, LLC |
| Other Organization Name | ISLAND PRIVATE CARE |
| Practice Address |
22978 Overseas Hwy Cudjoe Key FL 33042-4254 |
| Mailing Address |
9510 Ormsby Station Rd Ste 300 Louisville KY 40223-5016 |
| Practice Telephone | 3052984466 |
| Practice Fax Number | 3052894433 |
| Mailing Telephone | 5028911000 |
| Mailing Fax Number | 5028911427 |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2017-07-10 |
| Authorized Official Name | MR. PATRICK T. LYLES (SR. VP ADMINISTRATION) |
| Authorized Official Telephone | 5028911044 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Island Private Care | Doing Business As Name - Organization |
| Street Address |
22978 OVERSEAS HWY |
| City | CUDJOE KEY |
| State | FL |
| Zip Code | 33042-4254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518492842 | Altrimese Mcglockton | Developmental Therapist | 97 N Johnson Rd, Summerland Key, FL 33042-3102 | 2017-04-24 |
| 1023492691 | Margaret E Cooper | Registered Nurse | 19591 Navajo St, Sugarloaf Key, FL 33042-3139 | 2015-07-14 |
| 1376954388 | Michelle Marie Wischmeyer | Acupuncturist | 19506 Mayan St, Summerland Key, FL 33042-3143 | 2014-05-13 |
| 1932352721 | Augusto Viana | Acupuncturist | 836 Crane Blvd, Sugarloaf Key, FL 33042-3164 | 2008-10-24 |
| 1932494846 | Mary Ann Francis Nelson | Massage Therapist | 836 Crane Blvd, Sugarloaf Key, FL 33042-3164 | 2011-06-20 |
| 1255542916 | Richard Elliott Schugar | Optometrist | 182 Sawyer Dr, Cudjoe Key, FL 33042-4040 | 2007-05-24 |
| 1396031829 | James W. Farrell | Registered Nurse | 21850 Valencia Rd, Cudjoe Key, FL 33042-4133 | 2011-06-23 |
| 1366776379 | Steven Scott Dimse | Emergency Medicine | 189 Le Grand Ln, Cudjoe Key, FL 33042-4230 | 2009-09-23 |
| 1962966580 | Georgia Sue Tipsword | Occupational Therapist | 22923 Buccaneer Ln, Cudjoe Key, FL 33042-4248 | 2019-01-28 |
| 1871548651 | Key West Hma Physician Management, LLC | Emergency Medicine | 22974 Overseas Hwy, Cudjoe Key, FL 33042-4254 | 2006-05-23 |
| Find all providers in zip 33042 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
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| 1396346383 | Happy At Home Healthcare, Inc. | Home Health | 1104 S Powerline Rd Ste 8, Pompano Beach, FL 33069-4310 | 2020-11-05 |
| 1740881986 | Healing Hands Home Health | Home Health | 6611 Us Highway 19 Ste 204, New Port Richey, FL 34652-1732 | 2020-11-04 |
| 1215538848 | Tender Care Med Group Corp | Home Health | 373 E 1st Ave, Hialeah, FL 33010-4807 | 2020-11-02 |
| 1447850185 | Latoya Butler | Home Health | 5710 Lenox Ave Apt 121, Jacksonville, FL 32205-6383 | 2020-10-30 |
| 1871193748 | Cherrish M Jackson | Home Health | 1330 Treasure Key Ct, Tampa, FL 33612-8819 | 2020-10-29 |
| 1588264519 | Kendra Renea Chambers | Home Health | 78 Sims Rd, Quincy, FL 32352-6431 | 2020-10-28 |
| 1366041899 | Tri-city Adult Day Care, Inc. | Home Health | 827 Vanderbilt Dr, Eustis, FL 32726-5251 | 2020-10-26 |
| 1841899333 | All In Homecare LLC | Home Health | 150 3rd St Sw Ste 205, Winter Haven, FL 33880-2907 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | CUDJOE KEY |
| Zip Code | 33042 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.