KEYSTONE COMMUNITY RESOURCES, INC.


Address: 925 Stafford Ave, Scranton, PA 18505-2529
Phone: 5703478749

KEYSTONE COMMUNITY RESOURCES, INC. (NPI# 1669956207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669956207
Entity Type Organization
Organization Name KEYSTONE COMMUNITY RESOURCES, INC.
Practice Address 925 Stafford Ave
Scranton
PA 18505-2529
Mailing Address 100 Abington Executive Park Ste B
Clarks Summit
PA 18411-2276
Practice Telephone 5703478749
Mailing Telephone 5707028000
Mailing Fax Number 5707028196
Enumeration Date 2018-09-19
Last Update Date 2020-02-07
Authorized Official Name MR. DAVID ANTHONY DAVITT JR. (ACCOUNTS RECEIVABLE COORDINATOR)
Authorized Official Telephone 5707028000
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

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

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1568094142 Keystone Community Resources, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1768 Mcdonough Ave, Scranton, PA 18508-1566 2020-02-11
1114559267 Keystone Community Resources, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 336 Sheridan Ave, Clarks Summit, PA 18411-1458 2020-02-06
1902363005 Keystone Community Resources, Inc. Day Training/Habilitation Specialist 628 Genet Street, Scranton, PA 18505 2019-02-25
1689131997 Keystone Community Resources, Inc. Community/Behavioral Health 100 Abington Executive Park Ste B, Clarks Summit, PA 18411-2276 2019-02-22
1245714757 Keystone Community Resources, Inc. Day Training/Habilitation Specialist 921 Penn Ave, Scranton, PA 18509-2901 2018-09-20
1861976383 Keystone Community Resources, Inc. Day Training/Habilitation Specialist 1729 Pittston Ave, Scranton, PA 18505-4514 2018-09-20
1508340027 Keystone Community Resources, Inc. Day Training/Habilitation Specialist 628 Genet Streeet, Scranton, PA 18505-1165 2018-09-20
1891279303 Keystone Community Resources, Inc. Day Training/Habilitation Specialist 1501 Sanderson Ave, Scranton, PA 18509-2258 2018-09-20
1467936948 Keystone Community Resources, Inc. Day Training/Habilitation Specialist 2100 Route 6 and 11, Laplume, PA 18440 2018-09-20
1629552252 Keystone Community Resources, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 21 Joni Dr, Moscow, PA 18444-6303 2018-09-19

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities KEYSTONE COMMUNITY RESOURCES, INC. 100 Abington Executive Park, Clarks Summit, PA 18411-2260

Office Location

Street Address 925 STAFFORD AVE
City SCRANTON
State PA
Zip Code 18505-2529

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952927998 Gary Chee Seng Oh Student in an Organized Health Care Education/Training Program 501 S. Washintgon Avenue, Scranton, PA 18505 2020-06-24
1851915813 Usman Amjia Manzoor Student in an Organized Health Care Education/Training Program 501 South Washintgon Avenue, Scranton, PA 18505 2020-06-04
1396368791 Navharsh Kaur Sekhon Student in an Organized Health Care Education/Training Program 501 S, Washington Avenue, Scranton, PA 18505 2020-05-20
1275154395 Yamini Indravadan Patel Student in an Organized Health Care Education/Training Program 501 South Washington Avenue The Wright Center for Gradu, 501 South Washington Avenue, Scranton, PA 18505 2020-04-29
1225659584 Raza Naseer Student in an Organized Health Care Education/Training Program 501 S. Washington Avenue, Scranton, PA 18505 2020-04-28
1932720307 Mohammad Asim Amjad Student in an Organized Health Care Education/Training Program 501 South Washington Avenue, Scranton, PA 18505 2020-04-27
1033739404 Amina Khan Student in an Organized Health Care Education/Training Program 501 S Washington Avenue, Scranton, PA 18505 2020-04-25
1245862259 Princy Kanakkumar Shah Internal Medicine Wright Medical Center, 501 S Washington Avenue, Scranton, PA 18505 2020-02-07
1902363005 Keystone Community Resources, Inc. Day Training/Habilitation Specialist 628 Genet Street, Scranton, PA 18505 2019-02-25
1629596242 Morgan Aubrey Yackey Social Worker 1509 Maple St., Scranton, PA 18505 2017-09-04
Find all providers in zip 18505

Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568094142 Keystone Community Resources, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1768 Mcdonough Ave, Scranton, PA 18508-1566 2020-02-11
1619451259 Keystone Community Resources, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 18 Leslie Dr, Scranton, PA 18505-2216 2018-09-19
1821572462 Keystone Community Resources, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 332 S 9th Ave, Scranton, PA 18504-2602 2018-09-19
1023592664 Keystone Community Resources, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 102 Pequest Dr, Scranton, PA 18505-3627 2018-09-19
1932683570 Keystone Community Resources, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 815 Orchard St, Scranton, PA 18505-2027 2018-09-19
1306320940 Keystone Community Resources, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 917 Orchard St, Scranton, PA 18505-2117 2018-09-19
1326522962 Keystone Community Resources, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 101 Marjorie Dr, Scranton, PA 18505-2217 2018-09-19
1861976409 Keystone Community Resources, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1807 N Main Ave, Scranton, PA 18508-1944 2018-09-19
1194209858 Keystone Community Resources, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2337 Shawnee Ave, Scranton, PA 18509-1343 2018-09-19
1003390642 Keystone Community Resources, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 511 Stafford Ave, Scranton, PA 18505-2131 2018-09-19
Find all providers in SCRANTON

Competitor

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City SCRANTON
Zip Code 18505

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Dataset Information

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.

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