KEYSTONE COMMUNITY RESOURCES, INC. (NPI# 1568094142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568094142 |
| Entity Type | Organization |
| Organization Name | KEYSTONE COMMUNITY RESOURCES, INC. |
| Practice Address |
1768 Mcdonough Ave Scranton PA 18508-1566 |
| Mailing Address |
100 Abington Executive Park Ste B Clarks Summit PA 18411-2276 |
| Practice Telephone | 5703460611 |
| Practice Fax Number | 5707028096 |
| Mailing Telephone | 5707028000 |
| Mailing Fax Number | 5707028096 |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0598747 | 05 | |
| PA | 100001010 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
1768 MCDONOUGH AVE |
| City | SCRANTON |
| State | PA |
| Zip Code | 18508-1566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659843266 | Kelly Artmont | Massage Therapist | Northeastern Rehabilitation Associates, PC, 5 Morgan Highway Suite 4, Scranton, PA 18508 | 2018-12-20 |
| 1881163517 | Mindy Dobroski | Pharmacist | 589 Hamlin Hwy, Hamlin, PA 18508 | 2018-11-26 |
| 1417402249 | Express Urgent Care, LLC | Clinic/Center | 449 Scranton Carbondale Hwy, Dickson City, PA 18508 | 2016-08-22 |
| 1548644164 | Marie Domiano | Pharmacist | 201 Smallacombe Drive, Scranton, PA 18508 | 2015-07-14 |
| 1033511621 | Geisinger Clinic | Radiology | 5 Morgan Highway, Suite 7, Scranton, PA 18508 | 2014-09-25 |
| 1265833321 | Geisinger Clinic | Clinic/Center | 423 Scranton-carbondale Hwy, Scranton, PA 18508 | 2014-09-09 |
| 1659656924 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 100 Viewmont Mall, Space 844, Scranton, PA 18508 | 2011-10-18 |
| 1689851545 | Carol Ann C Perfilio Pamelia | Chiropractor | 1328 Providence Rd, Scranton, PA 18508 | 2008-01-23 |
| 1821282989 | Osti Klenz Inc | Durable Medical Equipment & Medical Supplies | 7 Viewmont Estates, Scranton, PA 18508 | 2007-08-31 |
| 1508072125 | Mary Jane Cosgrove | Optometrist | Lenscrafters Rt 6, Viewmont Mall, Scranton, PA 18508 | 2007-05-14 |
| Find all providers in zip 18508 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1669956207 | Keystone Community Resources, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 925 Stafford Ave, Scranton, PA 18505-2529 | 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.