Healthcare Provider Details

I. General information

NPI: 1437081593
Provider Name (Legal Business Name): KEYSTONE CARE PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 E COLLEGE AVE STE 1090
STATE COLLEGE PA
16801-7510
US

IV. Provider business mailing address

3500 E COLLEGE AVE STE 1090
STATE COLLEGE PA
16801-7510
US

V. Phone/Fax

Practice location:
  • Phone: 814-738-7655
  • Fax:
Mailing address:
  • Phone: 814-738-7655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN R SHOUP
Title or Position: OWNER & OPERATOR
Credential:
Phone: 570-772-6510