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KEYSTONE COMMUNITY LIVING, INC.
NPI 1902286602
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Matawan, NJ

Active since June 08, 2015
62 BALMORAL AVE, MATAWAN, NJ 07747(908) 757-1080(908) 755-6810 Get Directions Write a Review

NPPES record last updated: January 10, 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 1902286602) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Matawan, New Jersey and active in the NPI registry since June 2015. The organization lists Ray Fantuzzi, President, as its authorized official.

NPPES Registry Identity

NPI1902286602
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameKEYSTONE COMMUNITY LIVING, INC.
Location Address62 BALMORAL AVEMatawan, NJ 07747-3503
Mailing Address154 Front StSouth Plainfield, NJ 07080-3402 · (908) 757-1080 · Fax (908) 755-6810
Phone(908) 757-1080
Fax(908) 755-6810
Organization SubpartNo
Authorized OfficialRay FantuzziPresident · (908) 757-1080
Enumeration DateJune 8, 2015
Last NPPES UpdateJanuary 10, 2018
✔ NPI 1902286602 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.
62 BALMORAL AVE, Matawan, NJ 07747
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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 1902286602. It was assigned to this organization in the NPPES registry on June 8, 2015.

Where is Keystone Community Living, Inc. located?

Keystone Community Living, Inc. is located at 62 Balmoral Ave, Matawan, NJ 07747. 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 January 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.