Keystone Communities of Eagan

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

License

334028 Issued in MN

Legal business name

KEYSTONE COMMUNITIES OF EAGAN

Practice address

3810 Alder LN
Eagan, MN 55122-3831

Phone

(952) 836-2793

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Donna Teff

Title

Accounts Supervisor

Phone

(952) 836-2793

Specialties & licenses 1

Addresses

Tax ID family

Keystone Communities of Eagan2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Keystone Communities of Prior Lake

  • Lodging Provider
  • Prior Lake, MN
  • NPI 1245396084
  NPD tax ID

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295891042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 ALDER LN",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 ALDER LN",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223831",
            "telephone_number": "952-836-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE COMMUNITIES OF EAGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEFF",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "ACCOUNTS SUPERVISOR",
        "authorized_official_telephone_number": "952-836-2793"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lodging",
            "state": "MN",
            "license": "334028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Patrick Kerekes, MD
• Jacob Michael Kerkering, DDS
• Justin Adam Kertis, DPT
• Kathleen Kelly Key, D.D.S.
• Ciera Shanaye Keyes
• Jessica L Khan, CRNA
• Linda Khang
• Yevgeniya Aleks Khaskilevich, PA-C
• Eric A Khetia, MD
• Abigail Kilmer

• Lodging Provider in Eagan, MN
• Providers in Eagan, MN by specialty
• Lodging Provider in Minnesota

• 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.