Healthcare Provider Details

I. General information

NPI: 1740406669
Provider Name (Legal Business Name): HEALTHKEEPERZ, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 06/23/2023
Certification Date: 06/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 W 3RD ST
PEMBROKE NC
28372-9546
US

IV. Provider business mailing address

509 W 3RD ST PO BOX 1030
PEMBROKE NC
28372-9546
US

V. Phone/Fax

Practice location:
  • Phone: 910-522-0001
  • Fax: 910-521-1049
Mailing address:
  • Phone: 910-522-0001
  • Fax: 910-521-1049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC1185
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. TIMOTHY BEACHER BROOKS
Title or Position: PRESIDENT
Credential:
Phone: 910-522-0001