Keystone Cedars

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0195 Issued in IA

Legal business name

KEYSTONE CEDARS

Practice address

3965 Airport Dr
Indianapolis, IN 46254-5845

Phone

(317) 280-8455

Fax

(317) 875-4051

NPI assigned

Mar 7, 2008

Organization subpart

Yes

Parent organization

KEYSTONE SENIORAs reported in NPPES

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

Authorized official

Name

Mrs. Mary Jo Pipkin

Title

Executive Director

Phone

(319) 393-9500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1891965695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 ROCKWELL DR NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524027203",
            "telephone_number": "319-393-9500",
            "fax_number": "319-393-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3965 AIRPORT DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545845",
            "telephone_number": "317-280-8455",
            "fax_number": "317-875-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE CEDARS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEYSTONE SENIOR",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "PIPKIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "319-393-9500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALP CERTIFICATE",
            "identifier": "S0195",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saranda Keyes
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• Kathryn Louise Keys, PA-C
• Kevin Delancey Keys
• Stephany Allison Keys, PSY.D.
• Keystone Chiropractic LLC
• Keystone Dentistry
• Keystone Endodontics
• Arjun Khadilkar, MD
• Anu Khadka

• Assisted Living Facility in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Assisted Living Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.