| Entity Name: | CAREGIVERS OF THE KEYS INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Jan 2002 (23 years ago) |
| Document Number: | P02000012475 |
| FEI/EIN Number | 010593905 |
| Address: | 30383 QUAIL ROOST TRAIL, BIG PINE KEY, FL, 33043-3350, US |
| Mail Address: | 30383 QUAIL ROOST TRAIL, BIG PINE KEY, FL, 33043-3350, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235425844 | 2011-06-22 | 2011-06-22 | PO BOX 430067, BIG PINE KEY, FL, 330430067, US | 30383 QUAIL ROOST TRL, BIG PINE KEY, FL, 330433350, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 305-872-9788 |
Authorized person
| Name | BETTY GUZMAN |
| Role | VICE PRESIDENT |
| Phone | 3058729788 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| License Number | NR30211201 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 684907598 |
| State | FL |
| Issuer | MEDICAID |
| Number | 684907596 |
| State | FL |
| Issuer | MEDICAID |
| Number | 685490700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Davis Betty | Agent | 1031 Westshore Dr, BIG PINE KEY, FL, 33043 |
| Name | Role | Address |
|---|---|---|
| Davis BETTY | Owne | 1031 WESTSHORE DR, BIG PINE KEY, FL, 33043 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
