KEYSTONE HOSPICE CARE, INC.
NPI 1861620668
Hospice Care, Community Based in Grapevine, TX

Active since June 30, 2009CLIA 45D0910274 · Waiver
4811 MERLOT AVE UNIT 110, GRAPEVINE, TX 76051(972) 242-5959(214) 320-2683 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 29, 2025, Jan 31, 2020, Apr 25, 2019 (3 updates tracked since 2019).

  • 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
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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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AMBER L TUELLER

Authorized Official Title
SECRETARY
Authorized Official Phone
(208) 207-2726

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.

Reviews for KEYSTONE HOSPICE CARE, INC.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Home Health
4811 MERLOT AVE UNIT 110
GRAPEVINE, TX 76051

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.