KEYSTONE COMMUNITY LIVING, INC.


Address: 503 Rockview Ave, North Plainfield, NJ 07063-1812
Phone: 9082932096

KEYSTONE COMMUNITY LIVING, INC. (NPI# 1275040354) 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) 1275040354
Entity Type Organization
Organization Name KEYSTONE COMMUNITY LIVING, INC.
Practice Address 503 Rockview Ave
North Plainfield
NJ 07063-1812
Mailing Address 154 Front St
South Plainfield
NJ 07080-3402
Practice Telephone 9082932096
Mailing Telephone 9087571080
Enumeration Date 2018-01-10
Last Update Date 2018-01-10
Authorized Official Name RAY FANTUZZI (PRESIDENT)
Authorized Official Telephone 9087571080
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
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
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
1255848347 Keystone Community Living, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 21 Brookside Ave Apt 6a, Somerville, NJ 08876-5607 2018-01-10

Office Location

Street Address 503 ROCKVIEW AVE
City NORTH PLAINFIELD
State NJ
Zip Code 07063-1812

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487850319 Nazima Abrarova Obstetrics & Gynecology 1700-58 Myrtle Ave., Plainfield, NJ 07063 2007-06-26
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1639688351 Empire Specialty Pharmacy Pharmacy 6509 Bergenline Ave, West New York, NJ 07063 2017-09-26
1932142775 Sebika Basu Pediatrics 1700 Myrtle Ave, Plainfield, NJ 07063-1000 2006-06-13
1215351689 Jenneh A. Mustapha Registered Nurse 1700 Myrtle Ave, Plainfield, NJ 07063-1000 2014-02-06
1881968261 Genevieve Nwigwe Internal Medicine 1700 Myrtle Ave, Plainfield, NJ 07063-1000 2012-03-01
1114233194 Tejal Rana Optometrist 1700 Myrtle Ave, Plainfield, NJ 07063-1000 2010-08-27
1497085062 Yede B Dennis Dentist 1700 Myrtle Ave, 58, Plainfield, NJ 07063-1000 2010-01-05
1053548412 Barbara Durandis Dentist 1700 Myrtle Ave, 58, Plainfield, NJ 07063-1000 2009-06-12
1215193248 Traci Morris Advanced Practice Midwife 1700 Myrtle Ave, Plainfield, NJ 07063-1000 2008-07-29
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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
1649797473 The Arc of Somerset County Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 351 North Dr Apt 69, North Plainfield, NJ 07060-3703 2017-08-23
1861917676 The Arc of Somerset County Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 305 Mobus Ave, North Plainfield, NJ 07060-4463 2017-08-14
1437683109 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 215 Maple Terrace, North Plainfield, NJ 07060 2017-04-19
1538539028 Community Options, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 91 Myrtle Ave, North Plainfield, NJ 07060-4521 2015-09-28
1295104693 Community Options, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 268 Jeffries Pl, North Plainfield, NJ 07060-4474 2015-09-16
1316328750 Keystone Community Living, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 239 Lawrence Ave, North Plainfield, NJ 07063-1622 2015-06-11
1083141790 Everas Community Services, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 222 W End Ave, North Plainfield, NJ 07060-4527 2017-05-12

Providers in the same taxonomy and state

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
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Competitor

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City NORTH PLAINFIELD
Zip Code 07063

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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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