Healthcare Provider Details

I. General information

NPI: 1508474685
Provider Name (Legal Business Name): 2K HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2020
Last Update Date: 07/15/2020
Certification Date: 07/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 TWINING RD STE B1
DRESHER PA
19025-1832
US

IV. Provider business mailing address

402 UPTOWN SQ
MURFREESBORO TN
37129-0575
US

V. Phone/Fax

Practice location:
  • Phone: 215-422-3095
  • Fax:
Mailing address:
  • Phone: 615-933-7494
  • Fax: 615-933-7499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. KELLY FEHR
Title or Position: COO
Credential:
Phone: 615-933-7494