Provider Demographics
NPI:1225802408
Name:COMMUNITY KEEPERS INC
Entity Type:Organization
Organization Name:COMMUNITY KEEPERS INC
Other - Org Name:COMMUNITY KEEPERS HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:BLOH
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:267-398-7973
Mailing Address - Street 1:7619 ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19153-1314
Mailing Address - Country:US
Mailing Address - Phone:267-398-7973
Mailing Address - Fax:
Practice Address - Street 1:7619 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19153-1314
Practice Address - Country:US
Practice Address - Phone:267-398-7973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
No332U00000XSuppliersHome Delivered Meals