KEYSTONE LLC (NPI# 1720575475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720575475 |
| Entity Type | Organization |
| Organization Name | KEYSTONE LLC |
| Other Organization Name | KEYSTONE LLC |
| Practice Address |
4782 Curtis Cir Huntington Beach CA 92649-4313 |
| Practice Telephone | 2536532243 |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |
| Authorized Official Name | DYLAN WALKER (CEO) |
| Authorized Official Telephone | 2536532243 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Keystone LLC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | KEYSTONE LLC | 17723 Beach Dr Ne, Lake Forest Park, WA 98155 |
| Street Address |
4782 CURTIS CIR |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92649-4313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639305 | Tanisha Grant | Behavioral Analyst | 4592 Warner Ave, Huntington Beach, CA 92649 | 2020-11-04 |
| 1023582772 | Stanley Wayne Combs | Emergency Medicine | 16761 Edgewater Lane, Huntington Beach, CA 92649 | 2019-01-16 |
| 1609382084 | Loc Do | Pharmacist | 16922 Bolsa Chica, Huntington Beach, CA 92649 | 2017-12-20 |
| 1487166765 | Holly Forman | Marriage & Family Therapist | 17121 Tiffany Circle, Huntington Beach, CA 92649 | 2017-10-26 |
| 1205362522 | Pmh Laboratory Inc | Clinical Medical Laboratory | 5862 Edinger Ave, Huntington Beach, CA 92649 | 2017-05-05 |
| 1972050086 | Clear Reflections Psychol Assocs | Social Worker | 16897 Algonquin St., Ste L, Huntington Beach, CA 92649 | 2016-09-07 |
| 1588011274 | Wisdom Foods Inc | Dietitian, Registered | 16987 Algonquin Street Suite L, Huntington Beach, CA 92649 | 2016-05-23 |
| 1801253398 | Thierry Kolpin | Psychologist | 5202 Edinger, Huntington Beach, CA 92649 | 2016-01-28 |
| 1811374242 | Margarita Bernardo Velarde | Pediatrics | 17392 Wildrose Lane, Huntington Beach, CA 92649 | 2015-05-06 |
| 1023439809 | Orange County Labs Inc. | Clinical Medical Laboratory | 15165 Triton Ln, Huntington Beach, CA 92649 | 2013-12-23 |
| Find all providers in zip 92649 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932727914 | Double Helix Sober Living Solutions, Inc. | Substance Abuse Rehabilitation Facility | 8781 Albatross Dr, Huntington Beach, CA 92646-3302 | 2020-07-07 |
| 1730702838 | Smart-r Inc | Substance Abuse Rehabilitation Facility | 1355 Delaware St Apt 106, Huntington Beach, CA 92648-3734 | 2020-05-22 |
| 1154957967 | Beach House Retreat | Substance Abuse Rehabilitation Facility | 628 11th St, Huntington Beach, CA 92648-4032 | 2020-03-13 |
| 1467915462 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 18801 Flagstaff Ln, Huntington Beach, CA 92646-1906 | 2019-04-08 |
| 1861955866 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 19371 Worchester Ln, Huntington Beach, CA 92646-2045 | 2019-04-08 |
| 1851853956 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 19671 Ditmar Ln, Huntington Beach, CA 92646-3111 | 2019-04-05 |
| 1497221394 | Axion Detox | Substance Abuse Rehabilitation Facility | 6272 Farinella Dr, Huntington Beach, CA 92647-4220 | 2018-10-17 |
| 1568946192 | Rise Again Recovery Inc. | Substance Abuse Rehabilitation Facility | 20681 Chaucer Ln, Huntington Beach, CA 92646-5809 | 2018-09-19 |
| 1326525361 | Gold Standard Recovery Services, LLC | Substance Abuse Rehabilitation Facility | 2319 Whitesands Dr Unit 3 & 4, Huntington Beach, CA 92648 | 2018-07-23 |
| 1437644457 | Beachview Treatment, LLC | Substance Abuse Rehabilitation Facility | 302 18th St, Huntington Beach, CA 92648-3802 | 2018-06-22 |
| Find all providers in HUNTINGTON BEACH | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92649 |
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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.