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KEYSTONE INDEPENDENT LIVING
NPI 1689913196
Custodial Care Facility - Adult Care Home in Peckville, PA

Active since February 04, 2013
202 BOULEVARD AVE, PECKVILLE, PA 18452(570) 307-4067 Get Directions Write a Review

NPPES record last updated: February 4, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keystone Independent Living NPPES

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

KEYSTONE INDEPENDENT LIVING (NPI 1689913196) is a healthcare organization registered as an adult care home in Peckville, Pennsylvania and active in the NPI registry since February 2013. The organization lists Robert Fleese, President/owner, as its authorized official.

NPPES Registry Identity

NPI1689913196
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameKEYSTONE INDEPENDENT LIVING
Location Address202 BOULEVARD AVEPeckville, PA 18452-1002
Mailing Address100 Abington Executive Park, Suite BClarks Summit, PA 18411-2260 · (570) 702-8000
Phone(570) 307-4067
Organization SubpartNo
Authorized OfficialRobert FleesePresident/owner · (570) 702-8104
Enumeration DateFebruary 4, 2013
✔ NPI 1689913196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in PA · 226650
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
202 BOULEVARD AVE, Peckville, PA 18452
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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 Independent Living's NPI number?

The NPI number for Keystone Independent Living is 1689913196. It was assigned to this organization in the NPPES registry on February 4, 2013.

Where is Keystone Independent Living located?

Keystone Independent Living is located at 202 Boulevard Ave, Peckville, PA 18452. The listed phone number is (570) 307-4067.

What is Keystone Independent Living's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Keystone Independent Living was last updated on February 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.