Healthcare Provider Details

I. General information

NPI: 1699919084
Provider Name (Legal Business Name): KEYSTONE HEALTHCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2009
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 S CENTRAL EXPY STE I - H
RICHARDSON TX
75080-7411
US

IV. Provider business mailing address

777 S CENTRAL EXPY STE I - H
RICHARDSON TX
75080-7411
US

V. Phone/Fax

Practice location:
  • Phone: 972-262-9501
  • Fax: 972-767-4004
Mailing address:
  • Phone: 972-262-9501
  • Fax: 972-767-4004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number012782
License Number StateTX

VIII. Authorized Official

Name: MR. DICKSON ALAO
Title or Position: ADMINISTRATOR
Credential:
Phone: 972-262-9501