KEYSTONE COMMUNITY LIVING, INC. (NPI# 1609257807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609257807 |
| Entity Type | Organization |
| Organization Name | KEYSTONE COMMUNITY LIVING, INC. |
| Practice Address |
2400 Woodland Ave South Plainfield NJ 07080-5444 |
| Mailing Address |
154 Front St South Plainfield NJ 07080-3402 |
| Practice Telephone | 9087571080 |
| Practice Fax Number | 9087556810 |
| Mailing Telephone | 9087571080 |
| Mailing Fax Number | 9087556810 |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2018-01-10 |
| Authorized Official Name | RAY FANTUZZI (PRESIDENT) |
| Authorized Official Telephone | 9087571080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184189037 | Keystone Community Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 31 Brookside Ave Apt 2a, Somerville, NJ 08876-5609 | 2019-02-05 |
| 1861972549 | Keystone Community Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Brookside Ave Apt 2b, Somerville, NJ 08876-5607 | 2018-08-21 |
| 1326528001 | Keystone Community Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 40 Brookside Ave Apt 11a, Somerville, NJ 08876-5600 | 2018-08-21 |
| 1609383793 | Keystone Community Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20 Gramercy Gdns, Middlesex, NJ 08846-1686 | 2018-01-10 |
| 1376050443 | Keystone Community Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 44 Fairmount Ave, Bridgewater, NJ 08807-3156 | 2018-01-10 |
| 1275040354 | Keystone Community Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Rockview Ave, North Plainfield, NJ 07063-1812 | 2018-01-10 |
| 1518474600 | Keystone Community Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 54 Gramercy Gdns, Middlesex, NJ 08846-1687 | 2018-01-10 |
| 1427565522 | Keystone Community Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 72 Gramercy Gdns, Middlesex, NJ 08846-1687 | 2018-01-10 |
| 1497262596 | Keystone Community Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1218 Brookside Rd, Piscataway, NJ 08854-5119 | 2018-01-10 |
| 1528575610 | Keystone Community Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11 Brookside Ave Apt 6a, Somerville, NJ 08876-5605 | 2018-01-10 |
| Street Address |
2400 WOODLAND AVE |
| City | SOUTH PLAINFIELD |
| State | NJ |
| Zip Code | 07080-5444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184271165 | Jersey Dental | General Practice | 4917 Stelton Road, South Plainfield, NJ 07080 | 2019-08-23 |
| 1841746179 | Swati Gupta | Physical Therapist | 547 East Celebration Way, South Plainfield, NJ 07080 | 2016-08-28 |
| 1649626474 | Dungarvin New Jersey, LLC-delaney | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13 Delaney Ct, South Plainfield, NJ 07080 | 2016-05-11 |
| 1639542947 | Caringhouse Projects, Inc | Respite Care | 111 Jackson Avenue, South Plainfield, NJ 07080 | 2015-11-09 |
| 1861899932 | Joseph Njoroge Kimani | Nurse Practitioner | 123 Lexington Ave, South Plainfield, NJ 07080 | 2014-12-04 |
| 1134529738 | Brianna K. Carri | Physical Therapist | 4911 Stelton Rd, Suite 3, South Plainfield, NJ 07080 | 2014-09-02 |
| 1528312501 | Maritza Mgbako | Counselor | 9 Stacey Court, South Plainfield, NJ 07080 | 2012-10-30 |
| 1871843615 | Viraj Patel | Dermatology | 114 Lakeview Ave, South Plainfield, NJ 07080 | 2012-09-19 |
| 1538441027 | People With Purpose Inc. | Day Training, Developmentally Disabled Services | 137 Lee Place, South Plainfield, NJ 07080 | 2011-09-12 |
| 1962798728 | Ami Patel | Dentist | 3600 Park Ave, Suiten, South Plainfield, NJ 07080 | 2011-06-21 |
| Find all providers in zip 07080 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649626474 | Dungarvin New Jersey, LLC-delaney | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13 Delaney Ct, South Plainfield, NJ 07080 | 2016-05-11 |
| 1518348713 | Keystone Community Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 134 Waverly Pl, South Plainfield, NJ 07080-5031 | 2015-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871559 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Mamie Ct, Brick, NJ 08723-6438 | 2020-11-06 |
| 1316548167 | The Arc of Cape May County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 E Woodland Ave, Cape May Court House, NJ 08210-3815 | 2020-11-06 |
| 1730789447 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 209 Loganberry Ln, Freehold, NJ 07728-4045 | 2020-10-30 |
| 1881294858 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 Echohill Ln, Willingboro, NJ 08046-2205 | 2020-10-29 |
| 1093314759 | Fordham-lewis Consulting, L.L.C. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 94 Ramapo Valley Rd, Mahwah, NJ 07430-1161 | 2020-10-22 |
| 1487252177 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1476 W Terrace Cir Apt 2, Teaneck, NJ 07666-5230 | 2020-10-14 |
| 1215535422 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 231 Griggstown Rd, Belle Mead, NJ 08502-5204 | 2020-10-12 |
| 1003413311 | Excelsior Services Group LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Main Ave, Wood Ridge, NJ 07075-2055 | 2020-10-08 |
| 1659988178 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Heather Ln, Belle Mead, NJ 08502-5125 | 2020-09-29 |
| 1598372021 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 838 Long Road, Gillete, NJ 07933-0854 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH PLAINFIELD |
| Zip Code | 07080 |
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| 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.