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KEELLEN, LLC
NPI 1740365220
Residential Treatment Facility, Emotionally Disturbed Children in Creedmoor, NC

Active since October 25, 2006
313 PARK AVE, CREEDMOOR, NC 27522(919) 529-1965(919) 764-9731 Get Directions Write a Review

NPPES record last updated: April 2, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Keellen, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEELLEN, LLC (NPI 1740365220) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Creedmoor, North Carolina and active in the NPI registry since October 2006. The organization lists Mary Ellen Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1740365220
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameKEELLEN, LLC
Location Address313 PARK AVECreedmoor, NC 27522-0313
Mailing AddressPo Box 14Creedmoor, NC 27522-0014 · (919) 529-1965 · Fax (919) 764-9731
Phone(919) 529-1965
Fax(919) 764-9731
Organization SubpartNo
Authorized OfficialMary Ellen JohnsonOwner · (919) 529-1965
Enumeration DateOctober 25, 2006
Last NPPES UpdateApril 2, 2009
✔ NPI 1740365220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in NC · MHL-030-028
Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

313 PARK AVE, Creedmoor, NC 27522
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Other Identifiers 1

Medicaid6603254NC

Frequently Asked Questions

What is KEELLEN, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1740365220, enumerated as an "organization" on October 25, 2006.

Where is the provider located?

The provider is located at 313 PARK AVE CREEDMOOR, NC 27522 and the phone number is (919) 529-1965.

What is the provider's specialty?

Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

What insurance does KEELLEN, LLC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.