KEYSTONE PLACE, LLC (NPI# 1568076578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568076578 |
| Entity Type | Organization |
| Organization Name | KEYSTONE PLACE, LLC |
| Practice Address |
6126 Rockwell Dr Ne Cedar Rapids IA 52402-4781 |
| Mailing Address |
3965 Airport Dr Indianapolis IN 46254-5845 |
| Practice Telephone | 3195939500 |
| Practice Fax Number | 3193939501 |
| Mailing Telephone | 3174099252 |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |
| Authorized Official Name | BRENDA ARMSTRONG (GENERAL COUNSEL) |
| Authorized Official Telephone | 3174099252 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 177F00000X | Lodging | Other Service Providers | ||
| Y | 174200000X | Meals | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Keystone Cedars | Doing Business As Name - Organization |
| The Keystones of Cedar Rapids | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | KEYSTONE PLACE, LLC | 3965 Airport Dr, Indianapolis, IN 46254 |
| Street Address |
6126 ROCKWELL DR NE |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52402-4781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790520 | Sara Ann Rausch | Counselor | 1533 1 Ave Se, Cedar Rapids, IA 52402 | 2020-05-01 |
| 1558995589 | Jennifer Christine Hohneke | Nurse Practitioner | St. Luke's Transitional Care Center, 1420 Unitypoint Way, Cedar Rapids, IA 52402 | 2020-02-28 |
| 1073008314 | Benjamin Randall Groth | Optometrist | 576 Boyson Rd Ne Ste 104, Cedar Rapids, IA 52402 | 2018-06-28 |
| 1992228621 | Synona Culbertson | Counselor | 4403 1st Ave Ne, Suite L15, Cedar Rapids, IA 52402 | 2017-07-25 |
| 1083136410 | Compassion North America Home Health Services Corp | Hospice Care, Community Based | 1570 42nd Street Ne, Suite #2a, Cedar Rapids, IA 52402 | 2017-07-07 |
| 1861819732 | Arj Infusion Services, Inc. | Home Infusion | 1847 First Ave Se, Suite 100, Cedar Rapids, IA 52402 | 2014-03-27 |
| 1639475197 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4444 1st Ave Ne Ste 575, Cedar Rapids, IA 52402 | 2011-02-01 |
| 1437452919 | Empowering Families Inc | Early Intervention Provider Agency | 5005 Blairsforest Way, Cedar Rapids, IA 52402 | 2010-12-06 |
| 1184937476 | Jennifer Becker | Counselor | 3745 Center Point Rd Ne Ste A, Cedar Rapids, IA 52402 | 2010-07-15 |
| 1215179817 | William H Fletcher | Hearing Instrument Specialist | 3741 Center Point Rd Ne, Cedar Rapids, IA 52402 | 2009-03-27 |
| Find all providers in zip 52402 | ||||
| Taxonomy Code | 174200000X |
| Grouping | Other Service Providers |
| Classification | Meals |
| A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |
| Notes: Source: SD DSS Non-Emergency Medical Transportation program Transportation Services [7/1/2010: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295392082 | Cofe Amera LLC | Meals | 4940 Franklin Ave., Des Moines, IA 50310 | 2019-05-28 |
| 1528548021 | Sister's Home Style Entrees | Meals | 1303 22nd St N, Humboldt, IA 50548-8896 | 2018-08-15 |
| 1225531288 | Kj Angel Services, LLC | Meals | 3133 Floyd Blvd Ste B, Sioux City, IA 51108-1419 | 2018-03-15 |
| 1194862565 | Milestones Area Agency On Aging | Meals | 117 N Cooper Ave, Suite 2, Ottumwa, IA 52501-3322 | 2007-02-01 |
| City | CEDAR RAPIDS |
| Zip Code | 52402 |
Please comment or provide details below to improve the information on KEYSTONE PLACE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.