KEYSTONE COMMUNITY RESOURCES INC. NPI 1184487852

NPI Information

  • NPI: 1184487852
  • Provider Name: KEYSTONE COMMUNITY RESOURCES, INC.
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 100 ABINGTON EXECUTIVE PARK
    CLARKS SUMMIT, PA
    ZIP 18411
  • Phone: (570) 702-8025

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NPI Details

KEYSTONE COMMUNITY RESOURCES, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Clarks Summit, PA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. KEYSTONE COMMUNITY RESOURCES, INC. NPI is 1184487852. The provider is registered as an organization entity type.

The provider's business location address is:

100 ABINGTON EXECUTIVE PARK
CLARKS SUMMIT, PA
ZIP 18411-260
Phone: (570) 702-8025

The provider's authorized official is Tiffani Little .
The authorized official title is Executive Director and has the following contact phone number (484) 221-1017.

The enumeration date for this NPI number is 2/5/2024 and was last updated on 2/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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