Active NPI
Healthkeeperz, Inc
- Home Health Agency
- Pembroke, NC
National Provider Identifier
1194941013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC1185
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Oct 1, 2016 | Change of Ownership | Centerwell Home Health |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.