Keystone Hospice and Palliative Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

KEYSTONE HOSPICE AND PALLIATIVE CARE INC

Practice address

1055 Westlakes Dr Ste 3109B
Berwyn, PA 19312-2410

Phone

(610) 445-8933

Fax

(610) 445-8944

NPI assigned

Sep 17, 2024

Organization subpart

No

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

Authorized official

Name

Kachatur Gazdzhyan

Title

Owner

Phone

(215) 687-7266

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732320000000",
    "number": "1477380103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 WESTLAKES DR STE 3109B",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193122410",
            "telephone_number": "610-445-8933",
            "fax_number": "610-445-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 WESTLAKES DR STE 3109B",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193122410",
            "telephone_number": "610-445-8933",
            "fax_number": "610-445-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE HOSPICE AND PALLIATIVE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A",
        "authorized_official_last_name": "GAZDZHYAN",
        "authorized_official_first_name": "KACHATUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-687-7266"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Marie Kelly, DPT
• Laura Kennedy-Rynne, DPT
• Susan Marie Kennedy, D.O.
• Heather Tenbrock Kern, PA
• Cassandra Keys
• Muniya Shreyashi Khanna, PHD
• Lauren Kin, CRNP
• Khrystyna Kobylynets, NP
• Kenneth Kondracki
• Carrie Ann Kubala, PT, DPT

• Community Based Hospice Care Agency in Berwyn, PA
• Providers in Berwyn, PA by specialty
• Community Based Hospice Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; 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.