KEYSTONE MARION, LLC (NPI# 1386663516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386663516 |
| Entity Type | Organization |
| Organization Name | KEYSTONE MARION, LLC |
| Other Organization Name | KEYSTONE MARION YOUTH CENTER |
| Practice Address |
225 State St Marion VA 24354-3127 |
| Practice Telephone | 2767821990 |
| Practice Fax Number | 2767821996 |
| Mailing Telephone | 2767821990 |
| Mailing Fax Number | 2767821996 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID DUNCAN (ADMINISTRATOR) |
| Authorized Official Telephone | 2767821990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 84114002 | VA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Keystone Marion Youth Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275732695 | Keystone Marion, LLC | Psychiatric Residential Treatment Facility | 225 State St, Marion, VA 24354-3127 | 2007-07-16 |
| Street Address |
225 STATE ST |
| City | MARION |
| State | VA |
| Zip Code | 24354-3127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871809533 | Senah Angeline Saferight | Counselor | 225 State St, Marion, VA 24354-3127 | 2010-08-19 |
| 1306090287 | Angela Phillips | Social Worker | 225 State St, Marion, VA 24354-3127 | 2008-11-05 |
| 1285807263 | Alicia Dawn Stellwagen | Counselor | 225 State St, Marion, VA 24354-3127 | 2008-04-10 |
| 1275732695 | Keystone Marion, LLC | Psychiatric Residential Treatment Facility | 225 State St, Marion, VA 24354-3127 | 2007-07-16 |
| 1407933559 | John Keith Lowry | Counselor | 225 State St, Marion, VA 24354-3127 | 2006-11-01 |
| 1255411526 | Suzanne Q Yoster | Counselor | 225 State St, Marion, VA 24354-3127 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407352461 | Heath Andrew Nier | Physical Therapist | 1141 N Main St Ste 41, Marion, VA 24354 | 2018-03-30 |
| 1255748513 | Lou Fincher | Specialist/Technologist | 601 Radio Hill Dr., Marion, VA 24354 | 2014-07-18 |
| 1467869040 | Tessa Suzanne Brown | Nurse Practitioner | 1204 N. Main Street, Marion, VA 24354 | 2014-07-16 |
| 1780927129 | Jessika Nikhole Schottelkotte | Nurse Practitioner | 245 Medical Park Dr., Marion, VA 24354 | 2013-04-04 |
| 1083893598 | Norah Ann Nutter | Nurse Practitioner | 1616 N Main St Ste 100b, Marion, VA 24354 | 2007-10-31 |
| 1962621052 | Jonathan E Rouse | Durable Medical Equipment & Medical Supplies | 242 Seven Mile Ford Rd, Marion, VA 24354 | 2007-04-25 |
| 1699831511 | Mel Leaman Free Clinic At Emory & Henry College, Inc. | Clinic/Center | 601 Radio Hill Road, Marion, VA 24354 | 2006-12-28 |
| 1568548741 | Hunter Kevin Woods | Dentist | 639 Park Boulevard, Marion, VA 24354 | 2006-10-31 |
| 1992804645 | Victoria Hollis Galloway | Physician Assistant | 601 Radio Hill Rd., Marion, VA 24354 | 2006-09-21 |
| 1154426351 | Joseph A. Beaty | Social Worker | 434 Mitchell Valley Road, Marion, VA 24354 | 2006-09-13 |
| Find all providers in zip 24354 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245341932 | Applied Mental Health Concepts, Inc | Psychiatric Residential Treatment Facility | 339 N Prospect St, Marion, OH 43302-2364 | 2006-08-31 |
| 1871953257 | St. Louis Jc Vamc | Psychiatric Residential Treatment Facility | 2401 W Main St, Marion, IL 62959-1188 | 2016-02-29 |
| 1962862342 | St. Louis Jc Vamc | Psychiatric Residential Treatment Facility | 2401 W Main St, Marion, IL 62959-1188 | 2016-02-29 |
| 1184806432 | Montana Academy, Incorporated | Psychiatric Residential Treatment Facility | 9705 Lost Prairie Rd, Marion, MT 59925-9844 | 2007-11-28 |
| 1275732695 | Keystone Marion, LLC | Psychiatric Residential Treatment Facility | 225 State St, Marion, VA 24354-3127 | 2007-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322598 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 4700 Monterey Dr, Annandale, VA 22003-5927 | 2020-06-30 |
| 1003372780 | Monroe Operations, LLC | Psychiatric Residential Treatment Facility | 1620 Davidson Rd, Mc Lean, VA 22101-4304 | 2019-02-18 |
| 1093271777 | Monroe Operations, LLC | Psychiatric Residential Treatment Facility | 1622 Davidson Rd, Mc Lean, VA 22101-4304 | 2019-02-18 |
| 1841770849 | Monroe Operations, LLC | Psychiatric Residential Treatment Facility | 1624 Davidson Rd, Mc Lean, VA 22101-4304 | 2018-08-19 |
| 1275025694 | Strategic Healthcare of Virginia, Incorporated | Psychiatric Residential Treatment Facility | 468 Dryden Loop, Dryden, VA 24243 | 2018-06-01 |
| 1497283527 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 10416 Burke Lake Rd, Fairfax Station, VA 22039-1808 | 2017-06-02 |
| 1932635976 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 5949 Oakdale Rd, Mc Lean, VA 22101-3331 | 2017-05-11 |
| 1750823399 | Safe Haven Transitional Youth Services | Psychiatric Residential Treatment Facility | 3021 Macallan Pkwy, Henrico, VA 23231-7269 | 2016-11-14 |
| 1619324753 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 7809 Schelhorn Rd, Alexandria, VA 22306-2825 | 2016-05-18 |
| 1356722722 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 5343 Summit Dr, Fairfax, VA 22030-6523 | 2015-06-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KEYSTONE MARION, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.