KEYSTONE CEDARS (NPI# 1891965695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891965695 |
| Entity Type | Organization |
| Organization Name | KEYSTONE CEDARS |
| Practice Address |
3965 Airport Dr Indianapolis IN 46254-5845 |
| Mailing Address |
6325 Rockwell Dr Ne Cedar Rapids IA 52402-7203 |
| Practice Telephone | 3172808455 |
| Practice Fax Number | 3178754051 |
| Mailing Telephone | 3193939500 |
| Mailing Fax Number | 3193939501 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |
| Authorized Official Name | MRS. MARY JO PIPKIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3193939500 |
| Is Organization Subpart | Y |
| Parent Organization Name | KEYSTONE SENIOR |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | S0195 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | ALP CERTIFICATE | S0195 | 01 |
| Street Address |
3965 AIRPORT DR |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46254-5845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114308616 | Hugo Senior Housing, LLC | Assisted Living Facility | 3965 Airport Dr, Indianapolis, IN 46254-5845 | 2015-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
| 1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
| 1396230140 | Emeri Taivalkoski | Registered Nurse | Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 | 2018-06-25 |
| 1811499759 | Sara Peterson | Speech-Language Pathologist | 4102 Shore Drive, Indianapolis, IN 46254 | 2018-03-07 |
| 1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
| 1477083475 | Sherry Mason | Counselor | 5959 Staffordshire Cir, Indianapolis, IN 46254 | 2017-06-13 |
| 1790111680 | The Health and Hospital Corporation of Marion County | Pharmacy | 5515 W 38th St Ste 1200, Indianapolis, IN 46254 | 2013-09-24 |
| 1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
| 1750659827 | Apollon | Counselor | 5362 Deer Creek Drive, Indianapolis, IN 46254 | 2011-12-05 |
| 1235413253 | Irene Williams | Pharmacist | 6269 W. 38th St, Indianapolis, IN 46254 | 2011-10-10 |
| Find all providers in zip 46254 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801435292 | Wickshire Fort Harrison Opco LLC | Assisted Living Facility | 8025 Doubleday Drive, Indianapolis, IN 46216 | 2020-01-02 |
| 1093360984 | Glasswater Creek of Plainfield, LLC | Assisted Living Facility | 10480 Glasswater Rd, Indianapolis, IN 46231-0001 | 2019-08-07 |
| 1235600412 | Oasis At 56th, L.p. | Assisted Living Facility | 4940 W 56th St, Indianapolis, IN 46254-1402 | 2018-12-16 |
| 1386155729 | Hellenic Senior Living of Indianapolis, LLC | Assisted Living Facility | 8601 Shelby St, Indianapolis, IN 46227-6258 | 2017-10-12 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1053790725 | Ritter Aal Senior Lp | Assisted Living Facility | 5651 E 30th St, Indianapolis, IN 46218-3309 | 2015-05-27 |
| 1386049278 | Solana Senior Living, LLC | Assisted Living Facility | 7721 Battery Pointe Way, Indianapolis, IN 46240-1393 | 2014-11-04 |
| 1780086082 | Rpm Indianapolis, LLC | Assisted Living Facility | 7960 N Shadeland Ave, Indianapolis, IN 46250-2041 | 2014-09-18 |
| 1205164043 | Gods Will Hope & Support Services LLC | Assisted Living Facility | 6023 Coburn Ave, Indianapolis, IN 46228-1227 | 2009-12-04 |
| 1437399888 | Crownpointe Communities LLC | Assisted Living Facility | 7365 E 16th St, Indianapolis, IN 46219-2308 | 2009-02-25 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46254 |
Please comment or provide details below to improve the information on KEYSTONE CEDARS.
| 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.