KEYSTONE INDEPENDENT LIVING INC. – NPI #1861033151
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

KEYSTONE INDEPENDENT LIVING INC. is a community based residential treatment facility located in CLARKS SUMMIT, PA. NPPES has assigned the NPI number 1861033151 to KEYSTONE INDEPENDENT LIVING INC. on October 08, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KEYSTONE INDEPENDENT LIVING INC. below.

NPI Profile for
KEYSTONE INDEPENDENT LIVING INC.

NPI Number
1861033151
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KEYSTONE INDEPENDENT LIVING INC.
Primary location
100 ABINGTON EXECUTIVE PARK STE B
CLARKS SUMMIT, PA 18411-2276
Phone: (570) 702-8000 Fax: (570) 702-8196
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAVID DAVITT
ACCOUNTS RECEIVABLE COORDINATOR
Phone: (570) 702-8000
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.