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KEYSTONE COMMUNITY LIVING, INC.
NPI 1164939245
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Somerville, NJ

Active since January 10, 2018
60 BROOKSIDE AVE APT 9B, SOMERVILLE, NJ 08876(908) 334-3777 Get Directions Write a Review

NPPES record last updated: January 10, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Keystone Community Living, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEYSTONE COMMUNITY LIVING, INC. (NPI 1164939245) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Somerville, New Jersey and active in the NPI registry since January 2018. The organization lists Ray Fantuzzi, President, as its authorized official.

NPPES Registry Identity

NPI1164939245
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameKEYSTONE COMMUNITY LIVING, INC.
Location Address60 BROOKSIDE AVE APT 9BSomerville, NJ 08876-5613
Mailing Address154 Front StSouth Plainfield, NJ 07080-3402 · (908) 757-1080
Phone(908) 334-3777
Organization SubpartNo
Authorized OfficialRay FantuzziPresident · (908) 757-1080
Enumeration DateJanuary 10, 2018
✔ NPI 1164939245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
60 BROOKSIDE AVE APT 9B, Somerville, NJ 08876
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keystone Community Living, Inc.'s NPI number?

The NPI number for Keystone Community Living, Inc. is 1164939245. It was assigned to this organization in the NPPES registry on January 10, 2018.

Where is Keystone Community Living, Inc. located?

Keystone Community Living, Inc. is located at 60 Brookside Ave Apt 9B, Somerville, NJ 08876. The listed phone number is (908) 334-3777.

What is Keystone Community Living, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Keystone Community Living, Inc. was last updated on January 10, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.