Provider Demographics
NPI:1205811981
Name:KEYSTONE HOME HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:KEYSTONE HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:REESE SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-836-2440
Mailing Address - Street 1:8765 STENTON AVE
Mailing Address - Street 2:
Mailing Address - City:WYNDMOOR
Mailing Address - State:PA
Mailing Address - Zip Code:19038-8317
Mailing Address - Country:US
Mailing Address - Phone:215-836-2440
Mailing Address - Fax:215-836-3470
Practice Address - Street 1:8765 STENTON AVE
Practice Address - Street 2:
Practice Address - City:WYNDMOOR
Practice Address - State:PA
Practice Address - Zip Code:19038-8317
Practice Address - Country:US
Practice Address - Phone:215-836-2440
Practice Address - Fax:215-836-3470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-14
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA755105251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007935000OtherKEYSTONE HEALTH PLAN EAST
PA0007935000OtherPERSONAL CHOICE
PA2Y9587OtherELDER HEALTH
PA0007935000OtherPERSONAL CHOICE 65
PA11279OtherSENIOR HEALTH PARTNERS
PA0007935000OtherINDEPENDENCE BLUE CROSS
PA014075901OtherAMERICHOICE
PA007935000OtherKEYSTONE 65
PA2426633OtherAETNA MEDICARE
PA11279OtherHEALTH PARTNERS
PA0007935000OtherFEDERAL BLUE CROSS
PA1007079150009Medicaid
PA2426633OtherAETNA
PA0007935000OtherPERSONAL CHOICE
PA007935000OtherKEYSTONE 65
PA=========OtherUNITED HEALTHCARE
PA=========OtherAMERIHEALTH ADMINISTRATOR
PA=========OtherHEALTH AMERICA
PA2Y9587OtherELDER HEALTH