NPIMap

Keystone Continuum, LLC

Organization Active NPI Psychiatric Residential Treatment Facility · Waverly, TN

NPI 1902825151 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1902825151
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric Residential Treatment Facility 323P00000X
License
SO09869A (TN)
Legal business name
KEYSTONE CONTINUUM, LLC
Practice address
415 Seven Hawks LN
Waverly, TN 37185-2536
Phone
(931) 296-1183
Fax
(931) 296-7576
NPI assigned
Jul 19, 2006
Organization subpart
No

Authorized official

Name
Tom Hennessey
Title
Administrator
Phone
(931) 296-1183

Corporate family (same tax ID) 7

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2046271Natchez Trace Youth Academy
415 Seven Hawks LN, Waverly, TN 37185		Certificate of waiverAug 29, 2026

National Provider Directory

Tax ID family
Keystone Continuum LLC (8 organizations share this tax ID)

Locations

415 Seven Hawks Ln
Waverly, TN 37185
Phone (931) 296-1183

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X SO09869A TN Yes

Addresses

Primary practice location

415 Seven Hawks LN
Waverly, TN 37185-2536

Mailing address

415 Seven Hawks LN
Waverly, TN 37185-2536
Phone (931) 296-1183

Other names

  • Natchez Trace Youth Academy Doing business as

Other providers in Waverly, TN

All providers in Waverly, TN · Psychiatric Residential Treatment Facility in Tennessee

Sources for this page

Verify at the official NPI Registry.