KEYWEST CENTER INC.
NPI 1356492425
Intermediate Care Facility, Intellectual Disabilities in Durham, NC

Active since January 16, 2007
1722 ATHENS AVE., DURHAM, NC 27707(919) 682-9392(919) 683-1774 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Intermediate Care Facility, Intellectual...

About KEYWEST CENTER INC.

This page provides the complete NPI Profile along with additional information for Keywest Center Inc., a provider established in Durham, North Carolina operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1356492425 assigned on January 2007. The practitioner's primary taxonomy code is 315P00000X with license number MHL-032-049 (NC). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Tony Bullock (Administrator)

NPI
1356492425 Verify this NPI
Provider Name
KEYWEST CENTER INC.
Entity Type
Organization
Location Address
1722 ATHENS AVE. DURHAM, NC 27707
Location Phone
(919) 682-9392
Location Fax
(919) 683-1774
Mailing Address
1722 ATHENS AVE. DURHAM, NC 27707
Mailing Phone
(919) 682-9392
Mailing Fax
(919) 683-1774
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-16-2007
Last Update Date
08-22-2020
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
MHL-032-049
License State
NC
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. TONY BULLOCK

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(919) 682-9392

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3406548MEDICAID (05)NC 

Reviews for KEYWEST CENTER INC.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356492425, enumerated as an "organization" on January 16, 2007.

The provider is located at 1722 ATHENS AVE. DURHAM, NC 27707 and the phone number is (919) 682-9392.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.