NPIMap

Organization Active NPI

Healthkeeperz

  • Community Based Hospice Care Agency
  • Fayetteville, NC
National Provider Identifier
1992981575
Registry record updated Jan 14, 2008
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
Practice address
1830 Owen Dr.
Fayetteville, NC 28304-3412
Phone
(910) 522-0001
NPI assigned
Jan 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Mr. Timothy 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.
Fayetteville, NC 28304-3412

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
3401541MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Healthkeeperz22 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

Locations

1830 Owen Dr
Fayetteville, NC 28304
Phone (910) 748-0258

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1992981575",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 OWEN DR.",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043412",
            "telephone_number": "910-522-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHKEEPERZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NC",
            "license": "HC0359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3401541",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.