KEYSTONE COMMUNITY RESOURCES, INC.
Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Address: 97 Mcdonald St, Washington, NJ 07882-1258

KEYSTONE COMMUNITY RESOURCES, INC. (NPI# 1487249991) 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) 1487249991
Entity Type Organization
Organization Name KEYSTONE COMMUNITY RESOURCES, INC.
Practice Address 97 Mcdonald St
Washington
NJ 07882-1258
Practice Telephone 5707028000
Practice Fax Number 5707028196
Mailing Address 100 Abington Executive Park Ste B
Clarks Summit
PA 18411-2276
Mailing Telephone 5707028000
Mailing Fax Number 5707028196
Certification Date 2021-02-16
Enumeration Date 2021-03-05
Last Update Date 2021-03-05
Authorized Official Telephone 5707028000
Authorized Official Credential DO
Is Organization Subpart Y
Parent Organization Name BEACON SERVICES HOLDINGS INC.

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Other Provider Identifiers

Identifier State Issuer Type Code
0598747 NJ MEDICAID

Office Location

Street Address 97 MCDONALD ST
City WASHINGTON
State NJ
Zip Code 07882-1258

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1104443035 St. Luke's Warren Physician Group, PC Dermatology 315 Route 31 South, Washington, NJ 07882 2020-06-26
1710545306 Amanda Lee Williams Registered Nurse 492 Nj-57, Washington, NJ 07882 2019-05-30
1205314895 R & J Care Providers Inc. · Home Helpers Direct Link In Home Supportive Care 150 Boulevard, Sutie 4b, Washington, NJ 07882 2018-08-06
1114445913 The Arc, Warren County Chapter Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 201 W. Washington Ave., Apt. # 4, Washington, NJ 07882 2017-09-01
1164954384 The Arc, Warren County Chapter Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 201 West Washington Ave., Apt., 1,3,5.7, Washington, NJ 07882 2017-03-28
1790180578 Jenny Lynn Mahoney Speech-Language Pathologist 53 Youmans Ave, Washingtn, NJ 07882 2014-10-23
1790122091 Hope for Tomorrow Community/Behavioral Health 537 E Washington Ave, Washington, NJ 07882 2013-05-28
1003064882 Steven Andrew Tasetano Physical Therapist 269 Route 31, Suite 1, Washington, NJ 07882 2008-09-04
1689841413 Fortunata Santos Salas Family Medicine 11 Village Gate Road, Washington, NJ 07882 2008-05-12
1245432046 Gloria S Montalban · Gloria S Montalban-Hamm Dentist · General Practice 269 Route 31 South, Suite 6, Washington, NJ 07882 2007-06-04
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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
1285227702 Keystone Community Resources Inc. 98 Bickel Rd, Washington, NJ 07882-3540 2021-02-16
1982202271 Berkeley House Inc. 817 Elder St Nw, Washington, DC 20012-2323 2020-10-09
1003451873 Petra Jua 2205 16th St Se, Washington, DC 20020-4333 2019-11-15
1396202511 Umbrella Health Services LLC 2301 Georgia Ave Nw, Washington, DC 20001-3000 2019-02-24
1184180408 N2 Care Services LLC 61 Washington Square Cir, Washington, NJ 07882-2486 2019-02-11
1871074567 Community Empowerment Opportunities 64 New York Ave Ne Ste 100, Washington, DC 20002-3400 2018-08-22
1780196915 Empowering Home Services LLC 66 S St Nw, Washington, DC 20001-1128 2017-10-27
1942729694 Human Development Coalition · Endeavor Solutions 313 Parkland Pl Se, Washington, DC 20032-1601 2017-09-13
1114445913 The Arc, Warren County Chapter 201 W. Washington Ave., Apt. # 4, Washington, NJ 07882 2017-09-01
1659899490 The Arc, Warren County Chapter 66 Park Ave Apt E13, Washington, NJ 07882-1846 2017-08-31
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Competitor

Search similar providers

City WASHINGTON
Zip Code 07882

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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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