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KEYSTONE COMMUNITY LIVING, INC.
NPI 1861972549
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Somerville, NJ

Active since August 21, 2018
21 BROOKSIDE AVE APT 2B, SOMERVILLE, NJ 08876(908) 757-1080 Get Directions Write a Review

NPPES record last updated: August 21, 2018. Verified against the NPPES registry weekly; last sync: August 16, 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 1861972549) 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 August 2018. The organization lists Ray Fantuzzi, President, as its authorized official.

NPPES Registry Identity

NPI1861972549
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameKEYSTONE COMMUNITY LIVING, INC.
Location Address21 BROOKSIDE AVE APT 2BSomerville, NJ 08876-5607
Mailing Address154 Front StSouth Plainfield, NJ 07080-3402 · (908) 757-1080
Phone(908) 757-1080
Organization SubpartNo
Authorized OfficialRay FantuzziPresident · (908) 757-1080
Enumeration DateAugust 21, 2018
✔ NPI 1861972549 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.
21 BROOKSIDE AVE APT 2B, 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 1861972549. It was assigned to this organization in the NPPES registry on August 21, 2018.

Where is Keystone Community Living, Inc. located?

Keystone Community Living, Inc. is located at 21 Brookside Ave Apt 2B, Somerville, NJ 08876. The listed phone number is (908) 757-1080.

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 August 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.