OrganizationActive
Keystone Support Services LLC
NPI 1952997900 · Developmental Disabilities Clinic/Center · Jacksonville, FL
Provider details
- NPI number
- 1952997900
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Regina Sherman, Owner/ Operator(352) 658-1016
Specialties & taxonomies
Ambulatory Health Care Facilities
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X
Residential Treatment Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10135 Gate Pkwy N Apt 1516
Jacksonville, FL 32246-8267
Phone: (954) 224-8216
Street-level locationGet directions
Mailing address
10135 Gate Pkwy N Apt 1516
Jacksonville, FL 32246-8267
Registry dates
- Enumerated
- 2020-12-14
- Last updated
- 2020-12-15
- Certified
- 2020-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.