Active NPI
Keystone Nursing Services LLC
- Home Health Agency
- Pikesville, MD
National Provider Identifier
1245709351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- KEYSTONE NURSING SERVICES LLC
- Practice address
- 115 Sudbrook LN Ste D
Pikesville, MD 21208-4184 - Phone
- (443) 866-4031
- NPI assigned
- Nov 19, 2018
- 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
- Mr. John Sackie Fahnbutu
- Title
- President/Ceo
- Phone
- (443) 866-4031
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
115 Sudbrook LN Ste D
Pikesville, MD 21208-4184
Mailing address
115 Sudbrook LN Ste D
Pikesville, MD 21208-4184
Phone (443) 866-4031
National Provider Directory
National Provider DirectoryLocations
115 Sudbrook Ln
Ste D
Pikesville, MD 21208
Phone (443) 866-4031
3527 N Rolling Rd
Ste 225
Windsor Mill, MD 21244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571443200000",
"number": "1245709351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 SUDBROOK LN STE D",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212084184",
"telephone_number": "443-866-4031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 SUDBROOK LN STE D",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212084184",
"telephone_number": "443-866-4031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEYSTONE NURSING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-19",
"last_updated": "2019-10-19",
"status": "A",
"authorized_official_last_name": "FAHNBUTU",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "SACKIE",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "443-866-4031",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pikesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.