KELLERS NURSING HOME INC (NPI# 1285743104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285743104 |
| Entity Type | Organization |
| Organization Name | KELLERS NURSING HOME INC |
| Other Organization Name | KELLERS OAKHAVEN RETIREMENT HOME |
| Practice Address |
700 Westover Dr Sanford NC 27331-0640 |
| Mailing Address |
Po Box 640 Sanford NC 27331-0640 |
| Practice Telephone | 9197751853 |
| Practice Fax Number | 9197746482 |
| Mailing Telephone | 9197751853 |
| Mailing Fax Number | 9197746482 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LINDA KELLER KELLY (PRESIDENT) |
| Authorized Official Telephone | 9197751853 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
FCL-053-002 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7802564 | 05 |
| Other Name | Type Code |
|---|---|
| Kellers Oakhaven Retirement Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851405294 | Kellers Nursing Home Inc | Custodial Care Facility | 700 Westover Dr, Sanford, NC 27331-0640 | 2006-08-19 |
| 1205942067 | Kellers Nursing Home Inc | Custodial Care Facility | 700 Westover Dr, Sanford, NC 27331-0640 | 2006-08-22 |
| Street Address |
700 WESTOVER DR |
| City | SANFORD |
| State | NC |
| Zip Code | 27331-0640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851405294 | Kellers Nursing Home Inc | Custodial Care Facility | 700 Westover Dr, Sanford, NC 27331-0640 | 2006-08-19 |
| 1205942067 | Kellers Nursing Home Inc | Custodial Care Facility | 700 Westover Dr, Sanford, NC 27331-0640 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639540180 | Pine Ridge of Sanford Primary Care Pllc | Clinic/Center | 3072 South Horner Blvd, Sanford, NC 27331 | 2015-10-09 |
| 1609247006 | Pine Ridge Urgent Care and Occupational Medicine Center Pllc | Clinic/Center | 3072 South Horner Blvd, Sanford, NC 27331 | 2015-10-12 |
| 1730267105 | Liberty Healthcare Group, LLC | Hospice Care, Community Based | 1005 Carthage Street, Sanford, NC 27331-0066 | 2006-11-01 |
| 1780912436 | Parkview In Home Aide Services | In Home Supportive Care | 620 Westover Drive, Sanford, NC 27331-4057 | 2009-11-18 |
| 1679687156 | Parkview In Home Aide Services Inc | In Home Supportive Care | 620 Westover Dr, Sanford, NC 27331-4057 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710710 | Sandra G Inkrote | Counselor | 2599 Lower Moncure Rd, Sanford, NC 27330-9221 | 2020-11-08 |
| 1255932588 | Gy Med Transport LLC | Non-emergency Medical Transport (VAN) | 1236 Old England Loop, Sanford, FL 32771-6581 | 2020-11-03 |
| 1932708625 | Margarita S Bejarano | Clinical Nurse Specialist | 3891 Kruger Rand Cv, Sanford, FL 32771-5816 | 2020-10-22 |
| 1992304810 | Miracle Taylor | Massage Therapist | 1818 Paloma Ave, Sanford, FL 32771-3584 | 2020-10-21 |
| 1013516251 | Meaningful Minds Counseling | Social Worker | 151 N Steele St, Sanford, NC 27330-3966 | 2020-10-20 |
| 1225637333 | Mcpc-8, LLC | Family Medicine | 3110 S Horner Blvd Ste 4&5, Sanford, NC 27332-8212 | 2020-10-20 |
| 1902404437 | Travita M Ramdin | Nurse Practitioner | 4800 Solara Cir Apt 4061, Sanford, FL 32771-0032 | 2020-10-16 |
| 1174121701 | Samantha Hamilton | Specialist/Technologist | 183 Summer Creek Ln, Sanford, NC 27332-6285 | 2020-10-15 |
| 1518565472 | Taylor-made Home Companion Care LLC | Home Health | 3746 Saltmarsh Loop, Sanford, FL 32773-7092 | 2020-10-13 |
| 1659978146 | Corrina Marie Kent | Registered Nurse | 254 Harry Howes Rd, Sanford, ME 04073-5434 | 2020-10-07 |
| Find all providers in SANFORD | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750427704 | Easter Seals Ucp North Carolina & Virginia, Inc. | Custodial Care Facility | 4334 Lee Ave, Sanford, NC 27332-0708 | 2007-01-29 |
| 1851405294 | Kellers Nursing Home Inc | Custodial Care Facility | 700 Westover Dr, Sanford, NC 27331-0640 | 2006-08-19 |
| 1831723857 | Sanford Manor, LLC | Custodial Care Facility | 1115 Carthage St, Sanford, NC 27330-4162 | 2020-02-28 |
| 1730713751 | Sanford Senior Living, LLC | Custodial Care Facility | 1107 Carthage St, Sanford, NC 27330-4162 | 2020-02-28 |
| 1700446549 | Rctg, LLC | Custodial Care Facility | 1115 Carthage St, Sanford, NC 27330-4162 | 2019-06-14 |
| 1053971812 | Rctg, LLC | Custodial Care Facility | 1107 Carthage St, Sanford, NC 27330-4162 | 2019-06-14 |
| 1386917904 | Easter Seals Ucp North Carolina & Virginia, Inc. | Custodial Care Facility | 4334 Lee Ave, Sanford, NC 27332-0708 | 2012-02-13 |
| 1205942067 | Kellers Nursing Home Inc | Custodial Care Facility | 700 Westover Dr, Sanford, NC 27331-0640 | 2006-08-22 |
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|---|---|---|---|---|
| 1578162061 | Lewis E Williams | Custodial Care Facility | 1640 Bridgedale Dr, Rocky Mount, NC 27803-1604 | 2020-10-26 |
| 1861008583 | Arbor Landing At Hampstead LLC | Custodial Care Facility | 13937 Us Highway 17, Hampstead, NC 28443-4041 | 2020-09-17 |
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1740804111 | Happy Hearts Group Home | Custodial Care Facility | 6255 Burlington Rd, Gibsonville, NC 27249-8783 | 2020-06-02 |
| 1730703422 | Graham 4 Enterprises | Custodial Care Facility | 3006 W Sedgefield Dr, Greensboro, NC 27407-7313 | 2020-05-29 |
| 1477177111 | C&s Adult Care LLC, Dba Deal Care Inn | Custodial Care Facility | 1075 Deal Rd, Mooresville, NC 28115-6719 | 2020-05-28 |
| 1114554516 | Cassandra Davis | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549 | 2020-03-25 |
| 1356975767 | Cornerstone Community Service | Custodial Care Facility | 2220 Southgate St, Durham, NC 27703-2102 | 2020-02-24 |
| 1477184653 | Rose Vista Assisted Living, LLC | Custodial Care Facility | 2130 Rose Vista Rd, Kinston, NC 28504-8230 | 2020-01-28 |
| 1104456011 | Regina Williams | Custodial Care Facility | 511 Tansy Drive, Charlotte, NC 28214 | 2020-01-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.