KEYSTONE CARE, LLC (NPI# 1417420464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417420464 |
| Entity Type | Organization |
| Organization Name | KEYSTONE CARE, LLC |
| Practice Address |
285 La Patos Dr Myrtle Beach SC 29588-8484 |
| Practice Telephone | 1919539852 |
| Mailing Telephone | 1919539852 |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-02 |
| Authorized Official Name | MS. CRYSTAL BUSH (ORGANIZER) |
| Authorized Official Telephone | 9195398520 |
| Authorized Official Credential | LISW-CP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
285 LA PATOS DR |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29588-8484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819309 | Forrest Halsey Westley | Pharmacist | 3072 Dick Pond Rd. Suite 2, Myrtle Beach, SC 29588 | 2020-04-06 |
| 1588124176 | The Counseling Center of Sayebrook | Counselor | 106 Lansford Court Suite 202, Myrtle Beach, SC 29588 | 2019-03-21 |
| 1134631443 | Solid Foundations, LLC | Clinic/Center | 4325 Dick Pond Road, Suite E, Myrtle Beach, SC 29588 | 2017-10-26 |
| 1316496037 | Grand Strand Rehab and Nursing Center, LLC | Skilled Nursing Facility | 4452 Socastee Boulevard, Myrtle Beach, SC 29588 | 2016-09-22 |
| 1386092039 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1370 South Commons Drive, Suite 102, Myrtle Beach, SC 29588 | 2016-06-02 |
| 1114314531 | Allison Smith | Physical Therapy Assistant | 4870 Socastee Blvd, Myrtle Beach, SC 29588 | 2015-04-23 |
| 1760806160 | Myrtle Beach Physical Medicine & Rehab, LLC | Family Medicine | 4736 17 Bypass South, Myrtle Beach, SC 29588 | 2014-02-06 |
| 1801228499 | Robin Ruth Gause | Lactation Consultant, Non-RN | 510 Fairwood Lakes Ave, 14-c, Myrtle Beach, SC 29588 | 2013-08-06 |
| 1124386438 | Horace Earl Ferguson Jr. | Technician/Technologist | 4535 Dick Pond Road, A, Myrtle Beach, SC 29588 | 2012-04-25 |
| 1831463652 | Medeyecare, LLC | Technician/Technologist | 4335 Socastee Blvd, Unit A, Myrtle Beach, SC 29588 | 2012-02-24 |
| Find all providers in zip 29588 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932503703 | Calhoun Counseling, LLC | Community/Behavioral Health | 304 75th Ave N, Unit C, Myrtle Beach, SC 29572-4204 | 2014-10-22 |
| 1699187724 | New Progressions of South Carolina, LLC | Community/Behavioral Health | 5335 N Kings Hwy, Myrtle Beach, SC 29577-2520 | 2014-05-23 |
| 1871920744 | Health Education Resource Outreach Community Services LLC | Community/Behavioral Health | 2842 Farmer Brown Ct, Myrtle Beach, SC 29579-3219 | 2013-10-08 |
| 1487928313 | Vanhoogen Counseling Services, LLC | Community/Behavioral Health | 3700 Palmetto Pointe Blvd, Myrtle Beach, SC 29588-1184 | 2012-02-23 |
| 1629307145 | Southern Home Care Services, Inc. | Community/Behavioral Health | 1109 48th Ave N, Suite 111, Myrtle Beach, SC 29577-5417 | 2009-12-11 |
| 1902045024 | Sonoran Concepts, LLC | Community/Behavioral Health | 1304 Azalea Ct, Suite C, Myrtle Beach, SC 29577 | 2009-02-12 |
| 1083895403 | Coping Eap | Community/Behavioral Health | 223 Maison Dr Unit 28, Myrtle Beach, SC 29572-5170 | 2007-11-14 |
| 1508931312 | Broadstep Academy - Sc, Inc. | Community/Behavioral Health | 1991 Glenns Bay Rd Ste 101a, Myrtle Beach, SC 29575-8614 | 2006-11-21 |
| 1215462742 | Tamara Willard | Community/Behavioral Health | 4221 Mayfair St, Myrtle Beach, SC 29577-5757 | 2017-04-21 |
| 1609314293 | Coastal Haven Counseling LLC | Community/Behavioral Health | 220 Ronnie Ct Ste 2, Myrtle Beach, SC 29579-4192 | 2017-02-03 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29588 |
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| 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.