KEYSTONE NORTH LIBERTY, LLC
NPI 1295349207
Assisted Living Facility in North Liberty, IA

Q: What is Keystone North Liberty, LLC's NPI number?

The NPI number for Keystone North Liberty, LLC is 1295349207. It was assigned to this organization in the NPPES registry on September 8, 2020. The provider is doing business as Keystone Place at Forevergreen.

Q: What is Keystone North Liberty, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since September 08, 2020CLIA 16D2123271 · Waiver

1275 W FOREVERGREEN RD, NORTH LIBERTY, IA 52317(319) 459-1964(319) 626-2661 Get Directions Write a Review

NPPES record last updated: September 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Keystone North Liberty, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEYSTONE NORTH LIBERTY, LLC (NPI 1295349207), doing business as Keystone Place At Forevergreen, is a healthcare organization registered as an assisted living facility in North Liberty, Iowa and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through December 15, 2026 and lists Brenda L Armstrong, General Counsel, as its authorized official.

NPPES Registry Identity

NPI1295349207

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameKEYSTONE NORTH LIBERTY, LLC

Location Address1275 W FOREVERGREEN RDNorth Liberty, IA 52317-8533

Mailing Address3965 Airport DrIndianapolis, IN 46254-5845 · (317) 409-9252 · Fax (317) 863-1116

Phone(319) 459-1964

Fax(319) 626-2661

Organization SubpartNo

Authorized OfficialBrenda L ArmstrongGeneral Counsel · (317) 409-9252

Enumeration DateSeptember 8, 2020

NPPES CertifiedSeptember 8, 2020

✔ NPI 1295349207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

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.

1275 W FOREVERGREEN RD, North Liberty, IA 52317

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Other Names 1

Doing Business AsKeystone Place At Forevergreen

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D2123271

Keystone North Liberty, LLC · North Liberty, IA

Active · expires Dec 15, 2026

CLIA Number16D2123271

Laboratory TypeAssisted Living Facility

Certificate Effective DateDecember 16, 2024

Certificate Expiration DateDecember 15, 2026

Laboratory DirectorKali Stone

Laboratory Phone(319) 459-1964

Laboratory LocationKeystone North Liberty, LLC1275 West Forevergreen Road, North Liberty, IA 52317

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSEY ALEXANDRIA MILLER SLP

Speech-Language Pathologist

1275 W FOREVERGREEN RD
NORTH LIBERTY, IA 52317

Johnson County (319) 519-4933

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keystone North Liberty, LLC's NPI number?

The NPI number for Keystone North Liberty, LLC is 1295349207. It was assigned to this organization in the NPPES registry on September 8, 2020. The provider is doing business as Keystone Place at Forevergreen.

Where is Keystone North Liberty, LLC located?

Keystone North Liberty, LLC is located at 1275 W Forevergreen Rd, North Liberty, IA 52317. The listed phone number is (319) 459-1964.

What is Keystone North Liberty, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Keystone North Liberty, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2123271) is associated with this NPI, valid through December 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Keystone North Liberty, LLC was last updated on September 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.