KEYSTONE HOSPICE CARE, INC.
NPI 1861620668
Hospice Care, Community Based in Grapevine, TX
- Organization
- Hospice Care, Community Based
- Accepts Insurance
- CLIA Number: 45D0910274
- CLIA Cert. Type: Hospice
- CLIA Exp. Date: 01-02-2028
About KEYSTONE HOSPICE CARE, INC.
This page provides the complete NPI Profile along with additional information for Keystone Hospice Care, Inc., a provider established in Grapevine, Texas operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1861620668 assigned on June 2009. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Amber L Tueller (Secretary)
- NPI
- 1861620668 Verify this NPI
- Provider Name
- KEYSTONE HOSPICE CARE, INC.
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 4811 MERLOT AVE UNIT 110 GRAPEVINE, TX 76051
- Location Phone
- (972) 242-5959
- Location Fax
- (214) 320-2683
- Mailing Address
- 4811 MERLOT AVE UNIT 110 GRAPEVINE, TX 76051
- Mailing Phone
- (972) 242-5959
- Mailing Fax
- (214) 320-2683
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-30-2009
- Last Update Date
- 05-29-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Hospice Care, Community Based
- Taxonomy Code
- 251G00000X
- Type
- Agencies
- License State
- TX
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- MyBlue Health Bronze? 402 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D0910274
- Facility Type
- Hospice
- Certificate Effective Date
- January 03, 2026
- Certificate Expiration Date
- January 02, 2028
- Laboratory Director
- MARK SANDERS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Keystone Hospice Care, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861620668, enumerated as an "organization" on June 30, 2009.
The provider is located at 4811 MERLOT AVE UNIT 110 GRAPEVINE, TX 76051 and the phone number is (972) 242-5959.
Hospice Care, Community Based with taxonomy code 251G00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.