Healthcare Provider Details
I. General information
NPI: 1285562868
Provider Name (Legal Business Name): KEEPERS LEGACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1601 NW ASHLAND PL
BLUE SPRINGS MO
64015-2421
US
IV. Provider business mailing address
1601 NW ASHLAND PL
BLUE SPRINGS MO
64015-2421
US
V. Phone/Fax
- Phone: 913-944-0530
- Fax:
- Phone: 913-944-0530
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BARAKA
MATHEW
AKEYO
Title or Position: ADMINISTRATOR
Credential:
Phone: 913-944-0530