Provider Demographics
NPI:1508628819
Name:KEEPCARE LLC
Entity Type:Organization
Organization Name:KEEPCARE LLC
Other - Org Name:MYOR DIAGNOSTICS LTD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LEAD DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:TAVIERNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGAN
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:847-440-6617
Mailing Address - Street 1:5900 BALCONES DR # 17502
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4257
Mailing Address - Country:US
Mailing Address - Phone:512-253-1679
Mailing Address - Fax:
Practice Address - Street 1:5900 BALCONES DR # 17502
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4257
Practice Address - Country:US
Practice Address - Phone:512-253-1679
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-23
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty
No2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryGroup - Multi-Specialty