KEYSTONE COMMONS, LLC (NPI# 1689812414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689812414 |
| Entity Type | Organization |
| Organization Name | KEYSTONE COMMONS, LLC |
| Practice Address |
460 West St Ludlow MA 01056-1003 |
| Practice Telephone | 4135836611 |
| Practice Fax Number | 4135837701 |
| Mailing Telephone | 4135836611 |
| Mailing Fax Number | 4135837701 |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2009-02-02 |
| Authorized Official Name | MRS. BETH LESLIE EDELBERG-CARDILLO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4135836611 |
| Authorized Official Credential | M.ED., LSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | NO NUMBER ISSUED | MA | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Keystone Commons, LLC | 89 South Briggs Street, Erie, CO 80516 |
| Indiana Business Entities | KEYSTONE COMMONS, LLC | Baker & Daniels, X, X, IN 46 |
| Street Address |
460 WEST ST |
| City | LUDLOW |
| State | MA |
| Zip Code | 01056-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992207997 | Shannon Kurzeski | Nurse Practitioner | 77 Winsor Street - Ludlow Pediatrics, Ludlow, MA 01056 | 2018-03-06 |
| 1811412653 | Melany Ann Picard | Behavior Technician | 87 Ridgeview Circle, Ludlow, MA 01056 | 2017-08-12 |
| 1588981617 | Lindsay Beth Milligan | Physician Assistant | 627 Randall Road, Hampden County Correctional Center, Health Services, Ludlow, MA 01056 | 2010-04-29 |
| 1285874271 | Steve J. Mcdaniel D.d.s. PC | Dentist | 534 Center Street, Ludlow, MA 01056 | 2009-03-03 |
| 1710138813 | Margaret Ann Denby | Nurse Practitioner | 627 Randall Rd., Ludlow, MA 01056 | 2008-10-07 |
| 1285739276 | Pathology Diagnostic Services P.C. | Pathology | 377 Woodland Circle, Ludlow, MA 01056 | 2006-09-14 |
| 1295759876 | Joseph F Wegiel | Dentist | 257 Kendall St, Ludlow, MA 01056 | 2006-07-27 |
| 1972580306 | Lois C Albury | Internal Medicine | 14 Chestnut Place, Ludlow, MA 01056 | 2005-12-28 |
| 1720064983 | Ann Maria Labar Elder | Internal Medicine | 222 State St, Ludlow, MA 01056 | 2005-12-20 |
| 1922094762 | Mohammad U Qayyum | Psychiatry & Neurology | 77 Winsor St, Ste 101, Ludlow, MA 01056 | 2005-09-27 |
| Find all providers in zip 01056 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396370649 | Roderick Family LLC | Assisted Living Facility | 46 Lincoln St, Winthrop, MA 02152-2151 | 2020-03-06 |
| 1093355083 | Naafay, LLC | Assisted Living Facility | 265 Bear Hill Rd, North Andover, MA 01845-2115 | 2020-01-08 |
| 1184284705 | Erlin Manor Assisted Living, Inc. | Assisted Living Facility | 10b Erlin Ter, Tewksbury, MA 01876-2685 | 2019-06-17 |
| 1811465974 | Shi-iii Wrentham LLC | Assisted Living Facility | 30 Ledgeview Way, Attn: Executive Director Or Dba, Wrentham, MA 02093 | 2018-11-07 |
| 1023516465 | D'youville Leadership Solutions | Assisted Living Facility | 1085 Varnum Ave, Lowell, MA 01854-1133 | 2018-01-31 |
| 1457868622 | B-x Worcester LLC | Assisted Living Facility | 340 May St, Worcester, MA 01602-1800 | 2018-01-09 |
| 1841707098 | B-x Agawam LLC | Assisted Living Facility | 153 Cardinal Dr, Agawam, MA 01001-2182 | 2018-01-09 |
| 1811404544 | B-xi Operations Holding Company LLC | Assisted Living Facility | Benchmark At Robbins Brook, 10 Devon Drive, Acton, MA 01720 | 2018-01-03 |
| 1558876060 | Belchertown Heights Alf Lp | Assisted Living Facility | 99 Front Street, Belchertown, MA 01007 | 2017-12-06 |
| 1265962658 | Wincare LLC | Assisted Living Facility | 704 Beaver St, Waltham, MA 02452-5648 | 2017-06-18 |
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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.