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KEYSTONE CARE LLC NPI 1417420464


NPI Information

NPI: 1417420464
Provider Name: KEYSTONE CARE, LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
285 LA PATOS DR
MYRTLE BEACH, SC
ZIP 29588
Phone: (191) 953-9852
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KEYSTONE CARE, LLC is a community behavioral health in Myrtle Beach, SC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. KEYSTONE CARE, LLC NPI is 1417420464. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

285 LA PATOS DR
MYRTLE BEACH, SC
ZIP 29588-484
Phone: (191) 953-9852

The provider's authorized official is Crystal Bush .
The authorized official title is Organizer and has the following contact phone number (919) 539-8520.

The enumeration date for this NPI number is 1/2/2019 and was last updated on 1/2/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
22084P0800XPsychiatry & NeurologyPsychiatryNo
3261QM1300XClinic/CenterMulti-SpecialtyNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
5251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.