Organization Active NPI

The American Keystone Hospice LLC

  • Community Based Hospice Care Agency
  • Missouri City, TX
National Provider Identifier
1629704127
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
THE AMERICAN KEYSTONE HOSPICE LLC
Practice address
4422 Riverstone Blvd RM 408
Missouri City, TX 77459-7150
Phone
(346) 304-2020
Fax
(281) 499-5107
NPI assigned
Jul 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Authorized official

Name
Samuel Ajayi
Title
Manager
Phone
(346) 304-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

4422 Riverstone Blvd RM 408
Missouri City, TX 77459-7150

Mailing address

4422 Riverstone Blvd RM 408
Missouri City, TX 77459-7150
Phone (346) 304-2020

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2291934American Keystone Hospice LLC, the4422 Riverstone Blvd Room 409, Missouri City, TX 77459Certificate of waiverOct 17, 2027

National Provider Directory

National Provider Directory

Locations

4422 Riverstone Blvd
Rm 408
Missouri City, TX 77459
Phone (346) 268-3260

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1629704127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 RIVERSTONE BLVD RM 408",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774597150",
            "telephone_number": "346-304-2020",
            "fax_number": "281-499-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 RIVERSTONE BLVD RM 408",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774597150",
            "telephone_number": "346-304-2020",
            "fax_number": "281-499-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AMERICAN KEYSTONE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "AJAYI",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "346-304-2020"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.