KELLERS NURSING HOME INC NPI 1285743104

NPI Information

  • NPI: 1285743104
  • Provider Name: KELLERS NURSING HOME INC
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Doing Business As: KELLERS OAKHAVEN RETIREMENT HOME
  • Address: 700 WESTOVER DR
    SANFORD, NC
    ZIP 27331
  • Phone: (919) 775-1853

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NPI Details

KELLERS NURSING HOME INC is an adult care home custodial care facility in Sanford, NC. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. KELLERS NURSING HOME INC NPI is 1285743104. The provider is registered as an organization entity type.
The provider Is Doing Business As Kellers Oakhaven Retirement Home.

The provider's business location address is:

700 WESTOVER DR
SANFORD, NC
ZIP 27331-640
Phone: (919) 775-1853
Fax: (919) 774-6482

The provider's authorized official is Linda Keller Kelly .
The authorized official title is President and has the following contact phone number (919) 775-1853.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care HomeFCL-053-002NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17802564MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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