Organization Active NPI

Keystone Healthcare Services LLC

  • Adult Health Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1467158162
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
KEYSTONE HEALTHCARE SERVICES LLC
Practice address
8337 Cherry LN Unit 12
Laurel, MD 20707-4828
Phone
(301) 317-9073
NPI assigned
Feb 3, 2023
Organization subpart
Yes
Parent organization
KEYSTONE HEALTHCARE SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Authorized official

Name
Florence Oluranti Alli, FNPNPI 1760887517
Title
President
Phone
(301) 317-9073

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

8337 Cherry LN Unit 12
Laurel, MD 20707-4828

Mailing address

8337 Cherry LN Unit 12
Laurel, MD 20707-4828
Phone (301) 317-9073

National Provider Directory

National Provider Directory
Part of
Keystone Healthcare SVCS

Locations

8337 Cherry Ln
Unit 12
Laurel, MD 20707
Phone (301) 317-9073

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1467158162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8337 CHERRY LN UNIT 12",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074828",
            "telephone_number": "301-317-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8337 CHERRY LN UNIT 12",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074828",
            "telephone_number": "301-317-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE HEALTHCARE SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEYSTONE HEALTHCARE SERVICES LLC",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "ALLI",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_middle_name": "OLURANTI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-317-9073",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.