Keystone Care, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KEYSTONE CARE, LLC

Practice address

285 La Patos Dr
Myrtle Beach, SC 29588-8484

Phone

(191) 953-9852

NPI assigned

Jan 2, 2019

Last updated

Jan 2, 2019By 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

Ms. Crystal Bush, LISW-CP

Title

Organizer

Phone

(919) 539-8520

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1417420464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 LA PATOS DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295888484",
            "telephone_number": "191-953-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 LA PATOS DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295888484",
            "telephone_number": "191-953-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "919-539-8520",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Kerble
• William Kerr
• Derek David Kestila, DO
• Keys to Health and Wellness
• Michelle Marie Keys, MA
• Sara Khalil, M.D.
• Jamal Uddin Azam Khan
• Sergey Khokhlov
• Anthony Raymond Khoury, DO
• Rami Nadim Khouzam, MD

• Community/Behavioral Health Agency in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.

Verify at the official NPI Registry.