K2RED L.L.C. (NPI# 1033203146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033203146 |
| Entity Type | Organization |
| Organization Name | K2RED L.L.C. |
| Other Organization Name | HOME IV SERVICES & MEDICAL SUPPLY |
| Practice Address |
526 Shoup Ave W Ste L Twin Falls ID 83301-5050 |
| Practice Telephone | 2087358700 |
| Practice Fax Number | 2087347389 |
| Mailing Telephone | 2087358700 |
| Mailing Fax Number | 2087347389 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-04-25 |
| Authorized Official Name | MR. DANIEL SCOTT FUCHS (MEMBER) |
| Authorized Official Telephone | 2087358700 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
1333LS | ID | Suppliers |
| Y | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
1333LS | ID | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 805156800 | 05 | |
| ID | 805182700 | 05 |
| Other Name | Type Code |
|---|---|
| HOME IV SERVICES & MEDICAL SUPPLY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396954202 | K2red L.L.C. | Pharmacy | 995 Washington St. South, Twin Falls, ID 83301 | 2007-05-21 |
| 1316031412 | K2red L.L.C. | Pharmacy | 630 Addison Ave W Ste 120, Twin Falls, ID 83301-5475 | 2006-10-03 |
| 1558468835 | K2red L.L.C. | Durable Medical Equipment & Medical Supplies | 256 Overland Ave, Burley, ID 83318-1023 | 2006-09-20 |
| 1295832574 | K2red L.L.C. | Durable Medical Equipment & Medical Supplies | 526 Shoup Ave W Ste K, Twin Falls, ID 83301-5050 | 2006-09-20 |
| Street Address |
526 SHOUP AVE W STE L |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-5050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 332BP3500X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Parenteral & Enteral Nutrition |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811294051 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 261 Addison Ave W, Twin Falls, ID 83301-5049 | 2011-02-24 |
| 1902069172 | Kj Medical Inc | Durable Medical Equipment & Medical Supplies | 615 Filer Ave, Twin Falls, ID 83301-4008 | 2008-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437485703 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 11880 W President Dr, Ste E, Boise, ID 83713-8960 | 2009-10-21 |
| 1780778233 | Osburn Drug Co | Durable Medical Equipment & Medical Supplies | 16376 N Highway 41, Rathdrum, ID 83858-8735 | 2006-10-02 |
| 1053392548 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 3115 N Sycamore Dr, Boise, ID 83703-4129 | 2005-11-10 |
| 1366432023 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 840 E Elva St, Idaho Falls, ID 83401-2801 | 2005-10-25 |
| 1598755266 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 640 N Eisenhower St, Moscow, ID 83843-9588 | 2005-10-25 |
| 1881697118 | Prescription Center Home Care, LLC | Durable Medical Equipment & Medical Supplies | 2250 Coronado St, Idaho Falls, ID 83404-7552 | 2005-05-31 |
| 1851399158 | A Plus Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 619 S Washington St, Suite #102, Moscow, ID 83843-3063 | 2005-07-11 |
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on K2RED L.L.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.