Provider Demographics
NPI:1427439512
Name:ONE KEY HOME CARE - FLORIDA, LLC
Entity type:Organization
Organization Name:ONE KEY HOME CARE - FLORIDA, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP OPERATIONS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:BEATRICE
Authorized Official - Suffix:
Authorized Official - Credentials:ATTORNEY
Authorized Official - Phone:941-525-3354
Mailing Address - Street 1:779 MEDICAL DR STE 2
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34223-3980
Mailing Address - Country:US
Mailing Address - Phone:234-650-7000
Mailing Address - Fax:234-815-0151
Practice Address - Street 1:141 BRAEMAR AVE
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34293-8219
Practice Address - Country:US
Practice Address - Phone:941-525-3354
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ONE KEY HEALTH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-06-15
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care