Keystone Nursing Care Center Inc D/B/a Keystone Home Health
Organization Active NPI Home Health Agency · Keystone, IA
NPI 1770944167 · NPPES record last updated Sep 11, 2018
Key facts
- NPI
- 1770944167
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 1003246000 (IA)
- Legal business name
- KEYSTONE NURSING CARE CENTER INC D/B/A KEYSTONE HOME HEALTH
- Practice address
- 280 5TH St Apt 2
Keystone, IA 52249-9533 - Phone
- (319) 442-3650
- Fax
- (319) 442-3660
- NPI assigned
- Mar 11, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- KEYSTONE NURSING CARE CENTER INC
Authorized official
- Name
- Ms. Laura Ann Fowler, RN
- Title
- Admin
- Phone
- (319) 442-3650
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Keystone Nursing Care Center Inc
- Part of
- Keystone Nursing Care Center Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1003246000 | IA | Yes |
Addresses
Primary practice location
280 5TH St Apt 2
Keystone, IA 52249-9533
Mailing address
280 5TH St Apt 2
Keystone, IA 52249-9533
Phone (319) 442-3650
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0217044 | Medicaid | IA |
Other providers in Keystone, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.