Healthcare Provider Details

I. General information

NPI: 1649938481
Provider Name (Legal Business Name): R2K2 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2021
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 OLIVER RD STE 107
FAIRFIELD CA
94534-3431
US

IV. Provider business mailing address

1300 OLIVER RD STE 107
FAIRFIELD CA
94534-3431
US

V. Phone/Fax

Practice location:
  • Phone: 925-948-8700
  • Fax: 925-948-8722
Mailing address:
  • Phone: 925-948-8700
  • Fax: 925-948-8722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JULIE BAUER-DHILLON
Title or Position: ADMINISTRATOR
Credential:
Phone: 925-948-8700