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KEYSTONE CEDARS
NPI 1891965695
Assisted Living Facility in Indianapolis, IN

Active since March 07, 2008CLIA 16D1053859 · Waiver
3965 AIRPORT DR, INDIANAPOLIS, IN 46254(317) 280-8455(317) 875-4051 Get Directions Write a Review

NPPES record last updated: March 7, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Keystone Cedars NPPES

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

KEYSTONE CEDARS (NPI 1891965695) is a healthcare organization registered as an assisted living facility in Indianapolis, Indiana and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through May 7, 2028 and lists Mary Jo Pipkin, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1891965695
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameKEYSTONE CEDARS
Location Address3965 AIRPORT DRIndianapolis, IN 46254-5845
Mailing Address6325 Rockwell Dr NeCedar Rapids, IA 52402-7203 · (319) 393-9500 · Fax (319) 393-9501
Phone(317) 280-8455
Fax(317) 875-4051
Organization SubpartYesParent: Keystone Senior
Authorized OfficialMary Jo PipkinExecutive Director · (319) 393-9500
Enumeration DateMarch 7, 2008
✔ NPI 1891965695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in IA · S0195
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.
3965 AIRPORT DR, Indianapolis, IN 46254
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Other Identifiers 1

OtherS0195IA · Alp Certificate

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 16D1053859

Keystone Cedars Assisted Living Residence · Cedar Rapids, IA
Active · expires May 7, 2028
CLIA Number16D1053859
Laboratory TypeOther
Certificate Effective DateMay 8, 2026
Certificate Expiration DateMay 7, 2028
Laboratory DirectorAmanda Pins
Laboratory Phone(319) 393-9500
Laboratory LocationKeystone Cedars Assisted Living Residence6325 Rockwell Drive NE, Cedar Rapids, IA 52402
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.

HUGO SENIOR HOUSING, LLC
Assisted Living Facility
3965 AIRPORT DR
INDIANAPOLIS, IN 46254
Marion County (317) 280-8455

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 Cedars's NPI number?

The NPI number for Keystone Cedars is 1891965695. It was assigned to this organization in the NPPES registry on March 7, 2008.

Where is Keystone Cedars located?

Keystone Cedars is located at 3965 Airport Dr, Indianapolis, IN 46254. The listed phone number is (317) 280-8455.

What is Keystone Cedars's specialty?

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

Does Keystone Cedars hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D1053859) is associated with this NPI, valid through May 7, 2028. 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 Cedars was last updated on March 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.