KEYSTONE COMMUNITY RESOURCES, INC.


Address: 100 Abington Executive Park Ste B, Clarks Summit, PA 18411-2276
Phone: 5707028000

KEYSTONE COMMUNITY RESOURCES, INC. (NPI# 1689131997) 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) 1689131997
Entity Type Organization
Organization Name KEYSTONE COMMUNITY RESOURCES, INC.
Practice Address 100 Abington Executive Park Ste B
Clarks Summit
PA 18411-2276
Practice Telephone 5707028000
Practice Fax Number 5707028196
Mailing Telephone 5707028000
Mailing Fax Number 5707028196
Enumeration Date 2019-02-22
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 251S00000X Community/Behavioral Health Agencies

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
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
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

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 100 ABINGTON EXECUTIVE PARK STE B
City CLARKS SUMMIT
State PA
Zip Code 18411-2276

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861033151 Keystone Independent Living Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 100 Abington Executive Park Ste B, Clarks Summit, PA 18411-2276 2019-10-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881228153 Hayley Nicole Zelinka Physical Therapist 1000 Edella Road, South Abington, PA 18411 2020-02-26
1023657269 Erica Lynn Bednarz Physical Therapist 1001 Scenic Drive, Clarks Summit, PA 18411 2020-01-06
1386298842 Gj-mac Enterprises LLC In Home Supportive Care 506 N State Street, Clarks Summit, PA 18411 2019-08-01
1609392117 Colleen Marie Dougherty Nurse Practitioner 1145 Northern Boulevard, South Abington, PA 18411 2017-08-16
1629438312 Christopher Oyede Psychiatry & Neurology 1508 Applewood Acres, South Abington, Clarks Summit, PA 18411 2016-02-24
1194107326 Russell Zapko Physical Medicine & Rehabilitation 100 Edella Road, South Abington, PA 18411 2015-06-24
1952719619 Geisinger Clinic Family Medicine 790 North Blvd, Suite K, Clarks Summit, PA 18411 2014-07-25
1437428182 Gloria Marie Gigliotti Behavioral Analyst 718 South State Street, Caregivers of America, Clsarks Summit, PA 18411 2011-12-27
1790064137 John D Cacciamani Internal Medicine 1345 Glenview Rd., Clarks Summit, PA 18411 2011-08-16
1235372418 Five Star Quality Care-ghv, LLC Assisted Living Facility 950 Morgan Highway, Clarks Summit, PA 18411 2009-04-17
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073949277 Kp Feibus Counseling, LLC Community/Behavioral Health 219 W Grove St, Clarks Summit, PA 18411-2023 2013-09-19
1215592209 Mvcounseling LLC Community/Behavioral Health 421 S State St, Clarks Summit, PA 18411-1684 2019-05-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306447115 Forward Plan LLC Community/Behavioral Health 900 Macfarlane Dr, Pittsburgh, PA 15235-4230 2020-11-06
1821699240 Eternal Renewal, LLC Community/Behavioral Health 501 N Charlotte St Fl 2, Pottstown, PA 19464-4602 2020-11-03
1417557174 Kensington Hospital Non Hospital Short Term/long Term Rehab Community/Behavioral Health 136 W. Diamond St, Philadelphia, PA 19122-1721 2020-10-30
1699373415 Maternity Care Coalition Community/Behavioral Health 401 Dekalb St, Norristown, PA 19401-4909 2020-10-14
1558969741 Centerville Clinics Inc Community/Behavioral Health Centerville Clinics-intensive Behavioral Health Service, 37 Highland Avenue, Washington, PA 15301-4062 2020-10-12
1023624202 Allied Health Care Services Community/Behavioral Health 1124 Scott St, Wilkes Barre, PA 18705-3737 2020-09-22
1518573708 Mental Health Solution Community/Behavioral Health 2671 Darlington Rd, Beaver Falls, PA 15010-1280 2020-09-22
1629684584 Peace & Clarity Counseling LLC Community/Behavioral Health 1 E Broad St Ste 130-1096, Bethlehem, PA 18018-5913 2020-09-16
1548874746 Room 2 Grow, LLC Community/Behavioral Health 7500 Brooktree Rd Ste 201, Wexford, PA 15090-9285 2020-09-04
1134733819 Keeping It Real Counseling, LLC Community/Behavioral Health 2937 Route 611 Unit 9a, Tannersville, PA 18372-6000 2020-09-01
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Competitor

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City CLARKS SUMMIT
Zip Code 18411

Improve Information

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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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