KEYSTONE HEALTHCARE & REHABILITATION SERVICES INC NPI 1114077666

NPI Information

  • NPI: 1114077666
  • Provider Name: KEYSTONE HEALTHCARE & REHABILITATION SERVICES INC
  • Classification: Clinic/Center - 261QR0401X
  • Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Entity Type: Organization
  • Address: 2040 NE COACHMAN RD
    SUITE A
    CLEARWATER, FL
    ZIP 33765
  • Phone: (727) 796-5478

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NPI Details

KEYSTONE HEALTHCARE & REHABILITATION SERVICES INC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Clearwater, FL. KEYSTONE HEALTHCARE & REHABILITATION SERVICES INC NPI is 1114077666. The provider is registered as an organization entity type.

The provider's business location address is:

2040 NE COACHMAN RD
SUITE A
CLEARWATER, FL
ZIP 33765-600
Phone: (727) 796-5478
Fax: (727) 796-5635

The provider's authorized official is Robert Daniel Sparks .
The authorized official title is Owner and has the following contact phone number (727) 796-5478.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 2/8/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1684825MEDICARE OSCAR/CERTIFICATIONFLORIDA

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: 3/30/2025

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