KEYSTONE COMMUNITY LIVING, INC. (NPI# 1609383793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609383793 |
| Entity Type | Organization |
| Organization Name | KEYSTONE COMMUNITY LIVING, INC. |
| Practice Address |
20 Gramercy Gdns Middlesex NJ 08846-1686 |
| Mailing Address |
154 Front St South Plainfield NJ 07080-3402 |
| Practice Telephone | 9087571080 |
| 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 |
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1275040354 | Keystone Community Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Rockview Ave, North Plainfield, NJ 07063-1812 | 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 |
| Street Address |
20 GRAMERCY GDNS |
| City | MIDDLESEX |
| State | NJ |
| Zip Code | 08846-1686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801269105 | Caringhouse Projects, Inc | Respite Care | 7 Venice Avenue, Middlesex, NJ 08846 | 2015-11-09 |
| 1295131175 | Absolute Interventional Pain Medicine and Rehab PC | Pain Medicine | 1317 Bound Brook Road, Middlesex, NJ 08846 | 2014-11-05 |
| 1992131858 | Vanessa Vanegas | Occupational Therapist | 29 Wilson Street, Middlesex, NJ 08846 | 2013-09-23 |
| 1750717229 | Molly Smith | Speech-Language Pathologist | 331 Dorn Ave, Middlesex, NJ 08846 | 2013-09-17 |
| 1124360730 | Deanne Confalone | Dentist | 469 Union Avenue, Middlesex, NJ 08846 | 2013-03-21 |
| 1245534171 | Lisa A. Perry | Social Worker | 147 Union Avenue, Suite 2, Middlesex, NJ 08846 | 2011-01-06 |
| 1750555983 | Technical Gas Products, Inc | Durable Medical Equipment & Medical Supplies | 1001 Lincoln Blvd, Suite D, Middlesex, NJ 08846 | 2008-04-18 |
| 1407068216 | Michael Maser, Agnieszka Bara, D.m.d., LLC | Dentist | 476 Union Ave, Middlesex, NJ 08846 | 2007-05-04 |
| 1417052879 | Louis W Barile | Chiropractor | 619 Union Ave Bldg 2, Middlesex, NJ 08846 | 2006-09-13 |
| 1649870759 | Mikaela Emily Grande | Behavioral Analyst | 331 Dorn Ave, Middlesex, NJ 08846 | 2020-10-28 |
| Find all providers in zip 08846 | ||||
| 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 |
|---|---|---|---|---|
| 1841794195 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 55 Greenbrook Rd, Middlesex, NJ 08846-1319 | 2018-03-21 |
| 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 |
| 1285150094 | The Arc Middlesex County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 45 Glen Gary Rd, Middlesex, NJ 08846-1264 | 2017-08-15 |
| 1821479262 | Keystone Community Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 305 Union Ave, Middlesex, NJ 08846-1736 | 2015-06-11 |
| 1083228167 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 55 Greenbrook Rd, Middlesex, NJ 08846-1319 | 2020-09-04 |
| 1124521802 | Inspiring Community Supports | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 324 Bound Brook Rd, Middlesex, NJ 08846-2267 | 2018-03-09 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.