KEYSTONE RICHLAND CENTER, LLC (NPI# 1518986777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518986777 |
| Entity Type | Organization |
| Organization Name | KEYSTONE RICHLAND CENTER, LLC |
| Other Organization Name | FOUNDATIONS FOR LIVING |
| Practice Address |
1451 Lucas Rd Mansfield OH 44903-8682 |
| Practice Telephone | 4195895511 |
| Practice Fax Number | 4195897599 |
| Mailing Telephone | 4195895511 |
| Mailing Fax Number | 4195897599 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2012-04-12 |
| Authorized Official Name | CONNIE REBANE (CEO) |
| Authorized Official Telephone | 4195895511 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 200512503156 | OH | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Foundations for Living | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750648424 | Keystone Richland Center, LLC | Substance Abuse Rehabilitation Facility | 1451 Lucas Rd, Mansfield, OH 44903-8682 | 2012-04-18 |
| Street Address |
1451 LUCAS RD |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44903-8682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555111 | Scott Hingsbergen | Case Manager/Care Coordinator | 1451 Lucas Rd, Mansfield, OH 44903-8682 | 2020-10-14 |
| 1023624939 | Tonya Mcglasson | Case Manager/Care Coordinator | 1451 Lucas Rd, Mansfield, OH 44903-8682 | 2020-09-17 |
| 1881212678 | Jordan Lane Matheny | Licensed Practical Nurse | 1451 Lucas Rd, Mansfield, OH 44903-8682 | 2020-07-08 |
| 1922639756 | Theresa Hlopick | Registered Nurse | 1451 Lucas Rd, Mansfield, OH 44903-8682 | 2020-01-30 |
| 1467095034 | Connie R Harvey | Registered Nurse | 1451 Lucas Rd, Mansfield, OH 44903-8682 | 2019-10-25 |
| 1205478674 | Kathryn Ritchie | Case Manager/Care Coordinator | 1451 Lucas Rd, Mansfield, OH 44903-8682 | 2019-10-17 |
| 1770040198 | Anna Marie Durtschi | Registered Nurse | 1451 Lucas Rd, Mansfield, OH 44903-8682 | 2019-02-21 |
| 1609333103 | Chloe B. Montgomery | Social Worker | 1451 Lucas Rd, Mansfield, OH 44903-8682 | 2019-02-21 |
| 1073078101 | Danielle Nicole Bechtel | Licensed Practical Nurse | 1451 Lucas Rd, Mansfield, OH 44903-8682 | 2019-02-03 |
| 1952865024 | Michael Lee Catanzarito | Counselor | 1451 Lucas Rd, Mansfield, OH 44903-8682 | 2019-01-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710495304 | Meredith Remy | Specialist/Technologist | 864 St. Rt. 314 S, Mansfield, OH 44903 | 2018-01-17 |
| 1639695174 | Judd Mateo | Home Health Aide | 1027 Neil Circle N., Mansfield, OH 44903 | 2017-08-16 |
| 1942722517 | Leighana Nichole Smith | Licensed Practical Nurse | 1451 Lucas Rd., Mansfield, OH 44903 | 2017-07-14 |
| 1528481710 | Sarah Elizabeth Hoffman | Occupational Therapy Assistant | 1600 Crider Rd., Mansfield, OH 44903 | 2014-01-24 |
| 1881025195 | Erica Renee Hanley | Occupational Therapy Assistant | 1600 Crider Road, Mansfield, OH 44903 | 2013-12-12 |
| 1164768917 | Colette Elaine Germann | Licensed Practical Nurse | 695 Satinwood N Cr, Mansfield, OH 44903 | 2012-12-26 |
| 1386996577 | Nicky Lynn Cole | Home Health Aide | 135 Columbia Avenue, Mansfield, OH 44903 | 2012-10-11 |
| 1215217989 | Darein Lee Wilson | Nurse's Aide | 175 Colonial Drive, Mansfield, OH 44903 | 2011-08-25 |
| 1205070802 | Simone Nannette Robinson | Licensed Practical Nurse | 576 Garfield Place, Mansfield, OH 44903 | 2009-04-27 |
| 1659518991 | Amelia Faye Johnson Grund | Nurse Practitioner | 336 Glessner Ave, Mob 2nd Fl, Mansfield, OH 44903 | 2009-01-08 |
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| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871030049 | Brooks Marie Liederbach | Psychiatric Residential Treatment Facility | 1451 Lucas Rd, Mansfield, OH 44903-8682 | 2017-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114469392 | Marsha L Cline | Psychiatric Residential Treatment Facility | 3522 Meadow Valley St, Columbus, OH 43207-3544 | 2016-11-05 |
| 1629520218 | Abdul-khaliq Ahmed | Psychiatric Residential Treatment Facility | 2610 Beulah Rd, Columbus, OH 43211-1011 | 2016-10-29 |
| 1447329560 | Eckerd Youth Alternatives Inc | Psychiatric Residential Treatment Facility | 29371 Wheelabout Rd, Mcarthur, OH 45651 | 2006-11-06 |
| 1245341932 | Applied Mental Health Concepts, Inc | Psychiatric Residential Treatment Facility | 339 N Prospect St, Marion, OH 43302-2364 | 2006-08-31 |
| 1609834712 | St Vincent Family Centers | Psychiatric Residential Treatment Facility | 1490 E Main St, Columbus, OH 43205-2140 | 2006-05-01 |
| 1649230236 | The Buckeye Ranch, Inc. | Psychiatric Residential Treatment Facility | 4653 E Main St, Whitehall, OH 43213-3298 | 2006-03-27 |
| 1073089306 | Valencia Nicole Simpson | Psychiatric Residential Treatment Facility | 765 Pierce Dr, Columbus, OH 43223-2425 | 2018-10-14 |
| 1538619523 | Netcare Corporation | Psychiatric Residential Treatment Facility | 199 S Central Ave, Columbus, OH 43223-1301 | 2016-10-13 |
| 1780037275 | Sequel Pomegranate Health Systems, LLC | Psychiatric Residential Treatment Facility | 765 Pierce Dr, Columbus, OH 43223-2425 | 2016-07-20 |
| 1811346703 | Richie Barnes | Psychiatric Residential Treatment Facility | 3518 W 25th St, Cleveland, OH 44109-1951 | 2016-06-10 |
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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.