Organization Active NPI

KR Healthcare and Transportation LLC

Doing business as FaithMed Supplies

  • Durable Medical Equipment & Medical Supplies
  • Hemet, CA
National Provider Identifier
1801403191
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KR HEALTHCARE AND TRANSPORTATION LLC
Doing business as
FaithMed Supplies
Practice address
2627 W Florida Ave Ste 206
Hemet, CA 92545-4618
Phone
(951) 400-5541
NPI assigned
Sep 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Benson EghreriniovoNPI 1962145904
Title
Owner
Phone
(651) 497-9209

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2627 W Florida Ave Ste 206
Hemet, CA 92545-4618

Mailing address

2627 W Florida Ave Ste 206
Hemet, CA 92545-4618
Phone (951) 400-5541

Other names 1

  • FaithMed Supplies Doing business as

National Provider Directory

National Provider Directory

Locations

2627 W Florida Ave
Ste 206
Hemet, CA 92545
Phone (951) 400-5541

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1801403191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 W FLORIDA AVE STE 206",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925454618",
            "telephone_number": "951-400-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 W FLORIDA AVE STE 206",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925454618",
            "telephone_number": "951-400-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KR HEALTHCARE AND TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "EGHRERINIOVO",
        "authorized_official_first_name": "BENSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-497-9209"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FaithMed Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.