NPIMap

Organization Active NPI

Keystone Commons, LLC

  • Assisted Living Facility
  • Ludlow, MA
National Provider Identifier
1689812414
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
NO NUMBER ISSUED Issued in MA
Legal business name
KEYSTONE COMMONS, LLC
Practice address
460 West St
Ludlow, MA 01056-1003
Phone
(413) 583-6611
Fax
(413) 583-7701
NPI assigned
Feb 2, 2009
Last updated
Feb 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
Mrs. Beth Leslie Edelberg-Cardillo, M.ED., LSW
Title
Executive Director
Phone
(413) 583-6611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NO NUMBER ISSUED MA Primary

Addresses

Primary practice location

460 West St
Ludlow, MA 01056-1003

Mailing address

460 West St
Ludlow, MA 01056-1003
Phone (413) 583-6611

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1689812414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 WEST ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010561003",
            "telephone_number": "413-583-6611",
            "fax_number": "413-583-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 WEST ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010561003",
            "telephone_number": "413-583-6611",
            "fax_number": "413-583-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE COMMONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "EDELBERG-CARDILLO",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "413-583-6611",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED., LSW"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MA",
            "license": "NO NUMBER ISSUED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludlow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.