Organization Active NPI

Keystone Passionate Care, LLC

  • Home Health Agency
  • Harrisburg, PA
National Provider Identifier
1568099240
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KEYSTONE PASSIONATE CARE, LLC
Practice address
2040 Linglestown Rd Ste 302
Harrisburg, PA 17110-9568
Phone
(717) 265-6826
NPI assigned
Mar 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Authorized official

Name
Deandre Nordt
Title
Ceo
Phone
(717) 683-9244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2040 Linglestown Rd Ste 302
Harrisburg, PA 17110-9568

Mailing address

4709 Buck Run LN
Harrisburg, PA 17110-3265
Phone (717) 683-9244

Other identifiers 1

IdentifierTypeStateIssuer
1034920650001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.Keystonepchbg.com Direct

National Provider Directory

National Provider Directory

Locations

2040 Linglestown Rd
Ste 302
Harrisburg, PA 17110
Phone (717) 265-6826

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": "1585008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1568099240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 BUCK RUN LN",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171103265",
            "telephone_number": "717-683-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 LINGLESTOWN RD STE 302",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109568",
            "telephone_number": "717-265-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE PASSIONATE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "NORDT",
        "authorized_official_first_name": "DEANDRE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "717-683-9244"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1034920650001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.Keystonepchbg.com",
            "affiliation": "N",
            "endpointDescription": "Website Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2040 Linglestown Rd Ste 302",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171109568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.