Active NPI
The American Keystone Hospice LLC
- Community Based Hospice Care Agency
- Missouri City, TX
National Provider Identifier
1629704127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2291934 | American Keystone Hospice LLC, the | Certificate of waiver | Oct 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
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
- Charu Krishna Thammavaram, LPC-A
- Vijaya Rao Thandra, M.D.
- Jincy Thankachen
- Sheeja Mathews Tharappel, FNP-C
- Stephanie Jeanneth Tharayil, M.D
- The Care Home of Royalty
- The Compound Hub Pharmacy
- The Covenant Home Care Services, Inc
- The Covenant Medical Equipment
- The First Loving Care Home Healthcare Services
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.