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KEYSTONECARE PALLIATIVE CARE PROGRAM
NPI 1912285198
Internal Medicine in Wyndmoor, PA

Active since July 22, 2011CLIA 39D1022561 · Waiver
8765 STENTON AVE, WYNDMOOR, PA 19038(215) 836-2440(215) 836-2509 Get Directions Write a Review

NPPES record last updated: November 21, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Keystonecare Palliative Care Program NPPES

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

KEYSTONECARE PALLIATIVE CARE PROGRAM (NPI 1912285198) is a healthcare organization registered as an internal medicine in Wyndmoor, Pennsylvania and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through February 19, 2028 and lists Gail Inderwies, President, as its authorized official.

NPPES Registry Identity

NPI1912285198
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKEYSTONE HOSPICE
Location Address8765 STENTON AVEWyndmoor, PA 19038-8317
Mailing Address8765 Stenton AveWyndmoor, PA 19038-8317 · (215) 836-2440 · Fax (215) 836-2509
Phone(215) 836-2440
Fax(215) 836-2509
Organization SubpartNo
Authorized OfficialGail InderwiesPresident · (215) 836-2440
Enumeration DateJuly 22, 2011
Last NPPES UpdateNovember 21, 2011
✔ NPI 1912285198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
8765 STENTON AVE, Wyndmoor, PA 19038
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Other Names 1

Doing Business AsKeystonecare Palliative Care Program

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 39D1022561

Keystone Hospice · Wyndmoor, PA
Active · expires Feb 19, 2028
CLIA Number39D1022561
Laboratory TypeHospice
Certificate Effective DateFebruary 20, 2026
Certificate Expiration DateFebruary 19, 2028
Laboratory DirectorDr. Huma N. Ansari
Laboratory Phone(215) 836-2440
Laboratory LocationKeystone Hospice8765 Stenton Avenue, Wyndmoor, PA 19038
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 11

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

KEYSTONECARE HOME HEALTH, LLC
Home Health
8765 STENTON AVE
WYNDMOOR, PA 19038
Montgomery County (215) 836-2440
JILLIAN PRINZ
Speech-Language Pathologist
8765 STENTON AVE
WYNDMOOR, PA 19038
Montgomery County (215) 836-2440
KEYSTONE HOME HEALTH SERVICES, INC.
Home Health
8765 STENTON AVE
WYNDMOOR, PA 19038
Montgomery County (215) 836-2440
MICHEAL JOHN WULIN
Physical Therapist
8765 STENTON AVE
WYNDMOOR, PA 19038
Montgomery County (215) 836-2440
MAURA COULTER CRNP
Nurse Practitioner (Adult Health)
8765 STENTON AVE
WYNDMOOR, PA 19038
Montgomery County (215) 836-2440
JENNIFER MANGEL CRNP
Nurse Practitioner (Family)
8765 STENTON AVE
WYNDMOOR, PA 19038
Montgomery County (917) 658-2544
MR. BARTON EDEN WEITZMAN O.T.R./L
Occupational Therapist
8765 STENTON AVE
WYNDMOOR, PA 19038
Montgomery County (215) 836-2440
MARSHEA S MILLER OT
Occupational Therapist
8765 STENTON AVE
WYNDMOOR, PA 19038
Montgomery County (215) 836-2440

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 Hospice's NPI number?

The NPI number for Keystone Hospice is 1912285198. It was assigned to this organization in the NPPES registry on July 22, 2011. The provider is doing business as Keystonecare Palliative Care Program.

Where is Keystone Hospice located?

Keystone Hospice is located at 8765 Stenton Ave, Wyndmoor, PA 19038. The listed phone number is (215) 836-2440.

What is Keystone Hospice's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Keystone Hospice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D1022561) is associated with this NPI, valid through February 19, 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 Hospice was last updated on November 21, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.