KEYSTONE SUPPORT SERVICES LLC
NPI 1952997900
Clinic/Center - Developmental Disabilities in Jacksonville, FL
- Organization
- Clinic/Center
- Developmental Disabilities
About KEYSTONE SUPPORT SERVICES LLC
This page provides the complete NPI Profile along with additional information for Keystone Support Services Llc, a provider established in Jacksonville, Florida operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1952997900 assigned on December 2020. The practitioner's primary taxonomy code is 261QD1600X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Keystone Support Services Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Regina Sherman (Owner/ Operator)
- NPI
- 1952997900 Verify this NPI
- Provider Name
- KEYSTONE SUPPORT SERVICES LLC
- Entity Type
- Organization
- Location Address
- 10135 GATE PKWY N APT 1516 JACKSONVILLE, FL 32246
- Location Phone
- (954) 224-8216
- Mailing Address
- 10135 GATE PKWY N APT 1516 JACKSONVILLE, FL 32246
- Mailing Phone
- (954) 224-8216
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-14-2020
- Last Update Date
- 12-15-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Developmental Disabilities
- Taxonomy Code
- 261QD1600X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | |
| 2 | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952997900, enumerated as an "organization" on December 14, 2020.
The provider is located at 10135 GATE PKWY N APT 1516 JACKSONVILLE, FL 32246 and the phone number is (954) 224-8216.
Clinic/Center with taxonomy code 261QD1600X and a focus in Developmental Disabilities.
