Keystone Adult Daycare

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

KEYSTONE ADULT DAYCARE

Practice address

100 Narrows Rd
Larksville, PA 18651-3222

Phone

(570) 719-0760

Fax

(570) 719-0764

NPI assigned

Apr 11, 2007

Last updated

Dec 19, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Menichini

Title

Nurse Administrator

Phone

(570) 719-0760

Specialties & licenses 1

Addresses

Tax ID family

Keystone Adult Daycare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Keystone Adult Daycare

  • Non-emergency Medical Transport (VAN)
  • Larksville, PA
  • NPI 1013171818
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1114140647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NARROWS RD",
            "city": "LARKSVILLE",
            "state": "PA",
            "postal_code": "186513222",
            "telephone_number": "570-719-0760",
            "fax_number": "570-719-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NARROWS RD",
            "city": "LARKSVILLE",
            "state": "PA",
            "postal_code": "186513222",
            "telephone_number": "570-719-0760",
            "fax_number": "570-719-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE ADULT DAYCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "MENICHINI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "NURSE ADMINISTRATOR",
        "authorized_official_telephone_number": "570-719-0760"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore John Chernyl, CRNP, PMHNP-BC
• Kristin Ermak, BCBA
• Alexis Grohol, MS, CCC-SLP
• Jamm LLC (Keystone Garden Estates)
• Keystone Adult Daycare
• Larksville Commmunity Ambulance
• Learning Time Therapy
• Leah Mikulski, MSOTR/L
• MMS Homecare Staffing (Stephen Sincavage DBA MMS Homecare)
• Joseph Edward Moran, DC

• Developmentally Disabled Services Day Training Agency in Larksville, PA
• Providers in Larksville, PA by specialty
• Developmentally Disabled Services Day Training Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.