NPIMap

Organization Active NPI

Healthkeeperz, Inc

  • Community Based Hospice Care Agency
  • Fayetteville, NC
National Provider Identifier
1184815862
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HC0359 Issued in NC
Legal business name
HEALTHKEEPERZ, INC
Practice address
1830 Owen Dr
Professional Center Lower Level
Fayetteville, NC 28304-1611
Phone
(910) 522-0001
Fax
(910) 521-1049
NPI assigned
Aug 7, 2007
Last updated
Aug 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Tim Beacher Brooks
Title
President
Phone
(910) 522-0001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X HC0359 NC Primary

Addresses

Primary practice location

1830 Owen Dr
Professional Center Lower Level
Fayetteville, NC 28304-1611

Mailing address

509 W 3Rd St
Pembroke, NC 28372-9546
Phone (910) 522-0001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071022000544 NC Part A Provider - Hospice 3678512134 Practice locations: Fayetteville, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184815862. Details of each certification follow.

Hospice certification: CCN 341541

Legal name
HEALTHKEEPERZ, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 12, 1989
Last certification
May 18, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Feb 1, 1995 in NC
Enrollment address
4155 Ferncreek Drive
Suite 201
Fayetteville, NC 28314-1611

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Healthkeeperz ,IncCCN 341541 · All quality measures
Ownership
For-Profit
Certified
Jul 12, 1989
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Healthkeeperz Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Howard Brooks Individual 5% Or Greater Direct Ownership Interest Oct 1, 2007
Corporate Director Oct 1, 2007
Healthkeeperz, Inc. Organization, Pembroke, NC 5% Or Greater Direct Ownership Interest Oct 1, 2007
John H Brooks Individual 5% Or Greater Direct Ownership Interest Dec 31, 2012
Tim Brooks Individual 5% Or Greater Direct Ownership Interest Dec 31, 2012
Corporate Director Oct 1, 2007
W-2 Managing Employee Oct 1, 2007
William Brooks Individual 5% Or Greater Direct Ownership Interest Dec 31, 2012
Edward Brooks Individual 5% Or Greater Direct Ownership Interest Dec 31, 2012
Landa Brooks Strickland Individual 5% Or Greater Direct Ownership Interest Dec 31, 2012

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1184815862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W 3RD ST",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283729546",
            "telephone_number": "910-522-0001",
            "fax_number": "910-521-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 OWEN DR",
            "address_2": "PROFESSIONAL CENTER LOWER LEVEL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283041611",
            "telephone_number": "910-522-0001",
            "fax_number": "910-521-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHKEEPERZ, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "BEACHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-522-0001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NC",
            "license": "HC0359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.