Active NPI
Keystone Services, Inc Dba
- Adult Companion
- Louisville, KY
National Provider Identifier
1063539054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Legal business name
- KEYSTONE SERVICES, INC DBA
- Doing business as
- KENTUCKIANA NURSING SERVICES
- Practice address
- 2210 Meadow Dr
Suite 4
Louisville, KY 40218-1323 - Phone
- (502) 540-1482
- Fax
- (502) 540-5626
- NPI assigned
- Mar 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sherry Tennant Fisher
- Title
- Payroll Clerk
- Phone
- (502) 540-1482
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | Primary |
Addresses
Primary practice location
2210 Meadow Dr
Suite 4
Louisville, KY 40218-1323
Mailing address
2210 Meadow Dr
Suite 4
Louisville, KY 40218-1323
Phone (502) 540-1482
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33000753 | Medicaid | KY |
Other names 1
- KENTUCKIANA NURSING SERVICES
National Provider Directory
National Provider DirectoryLocations
2210 Meadow Dr
Ste 4
Louisville, KY 40218
Phone (502) 540-1482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1063539054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 MEADOW DR",
"address_2": "SUITE 4",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402181323",
"telephone_number": "502-540-1482",
"fax_number": "502-540-5626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 MEADOW DR",
"address_2": "SUITE 4",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402181323",
"telephone_number": "502-540-1482",
"fax_number": "502-540-5626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEYSTONE SERVICES, INC DBA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FISHER",
"authorized_official_first_name": "SHERRY",
"authorized_official_middle_name": "TENNANT",
"authorized_official_title_or_position": "PAYROLL CLERK",
"authorized_official_telephone_number": "502-540-1482",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33000753",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "KENTUCKIANA NURSING SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.