The Keystone of Bloomington, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THE KEYSTONE OF BLOOMINGTON, LLC

Doing business as

Keystone of Bloomington

Practice address

1509 Calhoun St
Bloomington, IL 61701-1514

Phone

(309) 827-6046

Fax

(309) 362-1049

NPI assigned

Nov 2, 2026

Last updated

Nov 2, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marcella Graf

Title

Cfo

Phone

(224) 470-2044

Specialties & licenses 1

Addresses

Other names 1

• Keystone of Bloomington Doing business as

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1793577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793577600000",
    "number": "1184523722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 W LUNT AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122615",
            "telephone_number": "224-470-2044",
            "fax_number": "224-470-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 CALHOUN ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617011514",
            "telephone_number": "309-827-6046",
            "fax_number": "309-362-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KEYSTONE OF BLOOMINGTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-02",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A",
        "authorized_official_last_name": "GRAF",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "224-470-2044"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1509 Calhoun St",
            "city": "Bloomington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "617011514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Keystone of Bloomington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Carle Foundation Hospital (Carle Medical Supply)
• The Center for Orthopedic Medicine, LLC (The Center for Outpatient Medicine)
• The Center for Youth and Family Solutions
• The Center for Youth and Family Solutions
• The Healing Tree Psychotherapy and Consulting Services, LLC
• The Therapy Collaborative
• The Vein Specialists, LLC
• Therapeutic Spine and Pain Center, LTD.
• Laura Louise Thirtyacre
• Ashley Thomas

• Skilled Nursing Facility in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.