Organization Active NPI

Keepmehome LLC

Doing business as KeepMeHome

  • Home Health Agency
  • Berlin, CT
National Provider Identifier
1013230499
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Mar 1, 2012

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
Incorporated
Feb 4, 2010 in CT
Enrollment address
1340 Worthington RDG
Berlin, CT 06037-3208
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
KeepmehomeCCN 077248 ยท All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Oct 29, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Lewis Bower Individual 5% Or Greater Direct Ownership InterestPresident Apr 21, 2010 100%
Corporate Director Apr 21, 2010
Laurie Gilligan Individual Operational/Managerial ControlSupervisor of Clinical Services 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

Verify at the official NPI Registry.