Keystone Community Resources

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

KEYSTONE COMMUNITY RESOURCES

Practice address

3264 Birney Ave
Scranton, PA 18505-2945

Phone

(570) 702-8000

NPI assigned

Mar 8, 2022

Last updated

Mar 8, 2022By 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

Ms. Katie A Przybylski

Title

Supervisor

Phone

(570) 702-8059

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Keystone Community Resources2 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 Community Resources

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Alpha, NJ
  • NPI 1831851559
  NPD tax ID

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1902553126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ABINGTON EXECUTIVE PARK STE B",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184112276",
            "telephone_number": "570-702-8000",
            "fax_number": "570-702-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3264 BIRNEY AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185052945",
            "telephone_number": "570-702-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE COMMUNITY RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "PRZYBYLSKI",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "570-702-8059",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0598747",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keshav Smruti LLC (Golden Dove Transit)
• Kathy Helen Kessler, CRNP
• Deepak P Keswani, MD
• Richard E Ketchner, PTA
• Kevin H. Olsen M.D. PC
• Keystone Community Resources Inc.
• Keystone Community Resources Inc.
• Keystone Community Resources Inc.
• Keystone Community Resources Inc.
• Keystone Community Resources Inc.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Scranton, PA
• Providers in Scranton, PA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.