Healthcare Provider Details

I. General information

NPI: 1245220870
Provider Name (Legal Business Name): HEALTHKEEPERZ, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 NORMAL STREET
PEMBROKE NC
28372-9545
US

IV. Provider business mailing address

305 NORMAL STREET
PEMBROKE NC
28372-9545
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 TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC0403
License Number StateNC

VIII. Authorized Official

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