=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285562868
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KEEPERS LEGACY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/12/2026
-----------------------------------------------------
Last Update Date | 05/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1601 NW ASHLAND PL
-----------------------------------------------------
City | BLUE SPRINGS
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 64015-2421
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-944-0530
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1601 NW ASHLAND PL
-----------------------------------------------------
City | BLUE SPRINGS
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 64015-2421
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-944-0530
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | BARAKA MATHEW AKEYO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 913-944-0530
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------