Provider Demographics
NPI:1548016892
Name:KEY MOMENTS HOMECARE LLC
Entity type:Organization
Organization Name:KEY MOMENTS HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:EBONEE
Authorized Official - Middle Name:
Authorized Official - Last Name:PINKARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-821-0829
Mailing Address - Street 1:809 E OLD HICKORY BLVD STE A-4
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-4156
Mailing Address - Country:US
Mailing Address - Phone:615-821-0829
Mailing Address - Fax:615-949-4929
Practice Address - Street 1:809 E OLD HICKORY BLVD STE A-4
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-4156
Practice Address - Country:US
Practice Address - Phone:615-821-0829
Practice Address - Fax:615-949-4929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-26
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care