Healthcare Provider Details

I. General information

NPI: 1417889247
Provider Name (Legal Business Name): KEEN CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 BOSTON RD UNIT 242
NORTH BILLERICA MA
01862-1041
US

IV. Provider business mailing address

41 BOSTON RD UNIT 242
NORTH BILLERICA MA
01862-1041
US

V. Phone/Fax

Practice location:
  • Phone: 781-377-0267
  • Fax:
Mailing address:
  • Phone: 781-377-0267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. AMBROSE OKANGO
Title or Position: MANAGER
Credential: NURSING ASSISTANT
Phone: 781-377-0267