Organization Active NPI

Keystone Services, Inc Dba

  • Adult Companion
  • Louisville, KY
National Provider Identifier
1063539054
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
33000753MedicaidKY

Other names 1

  • KENTUCKIANA NURSING SERVICES Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.