Keystone Healthcare Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

012782 Issued in TX

Legal business name

KEYSTONE HEALTHCARE INC

Practice address

1202 Richardson Dr Ste 205
Richardson, TX 75080-4677

Phone

(972) 262-9501

Fax

(972) 767-4004

NPI assigned

Apr 29, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Dickson Alao

Title

Administrator

Phone

(972) 262-9501

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747319

Legal name

KEYSTONE HEALTHCARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 25, 2010

Last certification

Apr 2, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 27, 2009 in TX

Enrollment address

1202 Richardson Dr
Ste 205
Richardson, TX 75080-4677

Listed as

Keystone Healthcare IncCCN 747319

Ownership

Proprietary

Certified

Mar 25, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIFCAD

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Vivian C Agumadu, MD

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1679711949

  Home health agency

  Care Compare affiliation
• Ashwin Venkataraman, MD

  • Family Medicine Physician
  • Aberdeen, WA
  • NPI 1083095061

  Home health agency

  Care Compare affiliation
• Moses Wananu, MD

  • Clinical Cardiac Electrophysiology Physician
  • Cincinnati, OH
  • NPI 1649546748

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1699919084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 RICHARDSON DR STE 205",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804677",
            "telephone_number": "972-262-9501",
            "fax_number": "972-767-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 RICHARDSON DR STE 205",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804677",
            "telephone_number": "972-262-9501",
            "fax_number": "972-767-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "ALAO",
        "authorized_official_first_name": "DICKSON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-262-9501",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "012782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292186801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cara Diann Kessler, DDS, MS
• Sripathi R Kethu, M.D.
• Kevin Mainz
• Miesha Keys, BSN, RN
• Austin Sterling Keyser, PHARMD
• Abeya Khan
• Amina Taskean Khan, D.C
• Aminah Khan, LPC-ASSOCIATE
• Ammad Khan, MD
• Arif Basir Khan

• Home Health Agency in Richardson, TX
• Providers in Richardson, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.