Healthkeepers Service LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

HEALTHKEEPERS SERVICE LLC

Practice address

4019 Grand Isle Dr
Chesapeake, VA 23323-2323

Phone

(757) 828-8133

NPI assigned

Aug 19, 2024

Organization subpart

No

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

Authorized official

Name

Ignacio Gomez, BSBA

Title

Program Manager

Phone

(757) 828-8133

Specialties & licenses 1

Addresses

Other names 1

• HealthKeepers Service Doing business as

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1619709409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4019 GRAND ISLE DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233232323",
            "telephone_number": "757-828-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4019 GRAND ISLE DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233232323",
            "telephone_number": "757-828-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHKEEPERS SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "IGNACIO",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "757-828-8133",
        "authorized_official_credential": "BSBA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthKeepers Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Developmentally Disabled Services Day Training Agency in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Developmentally Disabled Services Day Training Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.