KEYSTONE HEALTHCARE & REHABILITATION SERVICES INC – Comprehensive Outpatient Rehabilitation Facility (CORF), NPI 1114077666

KEYSTONE HEALTHCARE & REHABILITATION SERVICES INC is a healthcare provider. based in Clearwater, Florida. specializing in Comprehensive Outpatient Rehabilitation Facility (CORF). The NPI Number for KEYSTONE HEALTHCARE & REHABILITATION SERVICES INC is 1114077666

Main info

Organization
Name
KEYSTONE HEALTHCARE & REHABILITATION SERVICES INC
NPI
1114077666
Phone
(727) 796-5478
Address
2040 NE COACHMAN RD
Authorized Official
MR. ROBERT DANIEL SPARKS OWNER
Enumeration Date
10 January 2007
Last Update Date
8 February 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for KEYSTONE HEALTHCARE & REHABILITATION SERVICES INC

  • Northeast Coachman Road, Avana Coachman, Coachman, Clearwater, Pinellas County, Florida, 33765, United States

    SUITE A

    CLEARWATER, FL 337652600

    Phone: (727) 796-5478

    Fax: (727) 796-5635

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2002-11-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20021116000003OComprehensive Outpatient Rehabilitation FacilityFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33765)

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Reviews

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Frequently asked questions

What is KEYSTONE HEALTHCARE & REHABILITATION SERVICES INC's NPI number?
KEYSTONE HEALTHCARE & REHABILITATION SERVICES INC's NPI is 1114077666 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to KEYSTONE HEALTHCARE & REHABILITATION SERVICES INC?
You should see KEYSTONE HEALTHCARE & REHABILITATION SERVICES INC as active in CMS-hosted NPPES data.
How would a patient describe KEYSTONE HEALTHCARE & REHABILITATION SERVICES INC's focus?
For KEYSTONE HEALTHCARE & REHABILITATION SERVICES INC, the primary taxonomy reads as Comprehensive Outpatient Rehabilitation Facility (CORF). Clinical services aligned with this taxonomy classification.
Where in Florida is KEYSTONE HEALTHCARE & REHABILITATION SERVICES INC registered?
Use Clearwater, Florida as the headline location for KEYSTONE HEALTHCARE & REHABILITATION SERVICES INC here.
When was this NPI issued?
Enumeration for KEYSTONE HEALTHCARE & REHABILITATION SERVICES INC is noted as January 10, 2007 where the registry provides it.

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