Organization Active NPI

Healthkeeperz, Inc

  • Home Health Agency
  • Pembroke, NC
National Provider Identifier
1194941013
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC1185 Issued in NC
Legal business name
HEALTHKEEPERZ, INC
Practice address
509 W 3Rd St
Pembroke, NC 28372-9546
Phone
(910) 522-0001
Fax
(910) 521-1049
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Timothy Beacher Brooks
Title
President
Phone
(910) 522-0001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC1185 NC Primary

Addresses

Primary practice location

509 W 3Rd St
Pembroke, NC 28372-9546

Mailing address

PO Box 1030
Pembroke, NC 28372-1030
Phone (910) 522-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Oct 1, 2016 Change of OwnershipThis provider was the seller Centerwell Home HealthCCN 347231, NC, NPI 1396292371

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194941013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1030",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283721030",
            "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": "509 W 3RD ST",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283729546",
            "telephone_number": "910-522-0001",
            "fax_number": "910-521-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHKEEPERZ, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "BEACHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-522-0001"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC1185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, NC

Sources for this page

Verify at the official NPI Registry.