Provider Demographics
NPI:1184984403
Name:K2 HOME HEALTHCARE, INC.
Entity type:Organization
Organization Name:K2 HOME HEALTHCARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMYATTA
Authorized Official - Middle Name:C
Authorized Official - Last Name:PRITCHETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-328-9783
Mailing Address - Street 1:318 SWEET LEAF LN
Mailing Address - Street 2:
Mailing Address - City:LAKE DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75065-2275
Mailing Address - Country:US
Mailing Address - Phone:469-328-9783
Mailing Address - Fax:214-321-3598
Practice Address - Street 1:318 SWEET LEAF LN
Practice Address - Street 2:
Practice Address - City:LAKE DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75065-2275
Practice Address - Country:US
Practice Address - Phone:469-328-9783
Practice Address - Fax:214-321-3598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-21
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health