Active NPI
Keepmehome LLC
Doing business as KeepMeHome
- Home Health Agency
- Berlin, CT
National Provider Identifier
1013230499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- KEEPMEHOME LLC
- Doing business as
- KeepMeHome
- Practice address
- 1340 Worthington RDG
Berlin, CT 06037-3208 - Phone
- (860) 829-4500
- Fax
- (860) 829-4521
- NPI assigned
- Mar 12, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Lewis Bower
- Title
- President
- Phone
- (860) 829-4500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1340 Worthington RDG
Berlin, CT 06037-3208
Mailing address
PO Box 510
East Berlin, CT 06023-0510
Other names 1
- KeepMeHome
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100616000500 | CT | Part A Provider - Home Health Agency | 4284764358 | Practice locations: Berlin, CT |
Home health agency certification: CCN 077248
- Legal name
- KEEPMEHOME LLC
- Doing business as
- KEEPMEHOME
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 29, 2010
- Last certification
- Apr 3, 2014
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Feb 4, 2010 in CT
- Enrollment address
- 1340 Worthington RDG
Berlin, CT 06037-3208
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Keepmehome
- Overall star rating
- Ownership
- Proprietary
- Certified
- Oct 29, 2010
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Lewis Bower | 5% Or Greater Direct Ownership Interest | Apr 21, 2010 | 100% |
| Corporate Director | Apr 21, 2010 | ||
| Laurie Gilligan | Operational/Managerial Control | Dec 9, 2015 |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330560000000",
"number": "1013230499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 510",
"city": "EAST BERLIN",
"state": "CT",
"postal_code": "060230510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 WORTHINGTON RDG",
"city": "BERLIN",
"state": "CT",
"postal_code": "060373208",
"telephone_number": "860-829-4500",
"fax_number": "860-829-4521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEEPMEHOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-12",
"last_updated": "2012-03-01",
"status": "A",
"authorized_official_last_name": "BOWER",
"authorized_official_first_name": "LEWIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "860-829-4500",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "KeepMeHome",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Berlin, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.