Healthcare Provider Details

I. General information

NPI: 1457201725
Provider Name (Legal Business Name): KT'S CARERIDE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2026
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 CORPORATE DR STE N
JOHNSTON IA
50131-1659
US

IV. Provider business mailing address

6701 CORPORATE DR STE N
JOHNSTON IA
50131-1659
US

V. Phone/Fax

Practice location:
  • Phone: 508-762-7088
  • Fax:
Mailing address:
  • Phone: 508-762-7088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: KEN KIMANI
Title or Position: MAJORITY OWNER
Credential: KIMANI
Phone: 508-762-7088