Stellaris Keystone Foundation, Inc.

Key facts

NPI

1487563250

Entity type

Organization (NPI type 2)

Primary specialty

Case Management Agency 251B00000X

Legal business name

STELLARIS KEYSTONE FOUNDATION, INC.

Practice address

11510 John Marshall Hwy
Markham, VA 22643-1802

Phone

(571) 364-9550

NPI assigned

Sep 5, 2026

Organization subpart

No

Authorized official

Name

Ms. Marolyn Abena Boahen

Title

Founder

Phone

(571) 364-9550

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 5, 2026.

{
    "created_epoch": "1788566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788566400000",
    "number": "1487563250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11510 JOHN MARSHALL HWY",
            "city": "MARKHAM",
            "state": "VA",
            "postal_code": "226431802",
            "telephone_number": "571-364-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11510 JOHN MARSHALL HWY",
            "city": "MARKHAM",
            "state": "VA",
            "postal_code": "226431802",
            "telephone_number": "571-364-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLARIS KEYSTONE FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-05",
        "last_updated": "2026-09-05",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "BOAHEN",
        "authorized_official_first_name": "MAROLYN",
        "authorized_official_middle_name": "ABENA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "571-364-9550",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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