KEYSTONE COMMUNITY RESOURCES, INC. (NPI# 1730663360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730663360 |
| Entity Type | Organization |
| Organization Name | KEYSTONE COMMUNITY RESOURCES, INC. |
| Practice Address |
2421 Jackson St Scranton PA 18504-1634 |
| Mailing Address |
100 Abington Executive Park Ste B Clarks Summit PA 18411-2276 |
| Practice Telephone | 5703478926 |
| Mailing Telephone | 5707028000 |
| Mailing Fax Number | 5707028096 |
| 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 |
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| Street Address |
2421 JACKSON ST |
| City | SCRANTON |
| State | PA |
| Zip Code | 18504-1634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972141984 | Stephanie Weisel | Counselor | 228 South Main Street, Scranton, PA 18504 | 2019-12-20 |
| 1326517889 | Rebecca L Connor | Chiropractor | 2953 Frink Street, Scranton, PA 18504 | 2018-11-14 |
| 1598217028 | Fresenius Medical Care West Scranton, LLC | Clinic/Center | 321 Meridian Ave, Scranton, PA 18504 | 2016-11-01 |
| 1902296999 | Heart To Heart D/b/a Caring Matters Home Care | In Home Supportive Care | 118 South Main Avenue, Scranton, PA 18504 | 2015-01-28 |
| 1366846156 | Roy Gilgallon | Counselor | 431 Rear Wyoming Ave, Scranton, PA 18504 | 2014-10-22 |
| 1659706596 | Megan Oswald | Speech-Language Pathologist | 1024 Acker Ave, Scranton, PA 18504 | 2013-09-11 |
| 1912272261 | Shannon Ritterbusch | Occupational Therapist | 1252 Rundle, Scranton, PA 18504 | 2012-03-20 |
| 1407992761 | Vip Look Inc | Durable Medical Equipment & Medical Supplies | 455 N Main Ave, Scranton, PA 18504 | 2007-01-30 |
| 1073604443 | Patrick F Cioni | Counselor | 138 S Cameron Avenue, Scranton, PA 18504 | 2006-09-28 |
| 1104935808 | Vincent Luciano Ross | Pediatrics | 442 N Main Ave, Scranton, PA 18504 | 2006-08-29 |
| Find all providers in zip 18504 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.