Provider Demographics
NPI:1649938481
Name:R2K2 LLC
Entity type:Organization
Organization Name:R2K2 LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUER-DHILLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-948-8700
Mailing Address - Street 1:1850 GATEWAY BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-8469
Mailing Address - Country:US
Mailing Address - Phone:925-948-8700
Mailing Address - Fax:925-948-8722
Practice Address - Street 1:1850 GATEWAY BLVD STE 200
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-8469
Practice Address - Country:US
Practice Address - Phone:925-948-8700
Practice Address - Fax:925-948-8722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-29
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health