Provider Demographics
NPI:1164566790
Name:CALLMED, LLC
Entity Type:Organization
Organization Name:CALLMED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGIE
Authorized Official - Middle Name:NGOZI
Authorized Official - Last Name:NDUKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-441-1565
Mailing Address - Street 1:550 S EDMONDS LN
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-3524
Mailing Address - Country:US
Mailing Address - Phone:469-441-1565
Mailing Address - Fax:972-219-1750
Practice Address - Street 1:550 S EDMONDS LN
Practice Address - Street 2:SUITE 202
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-3524
Practice Address - Country:US
Practice Address - Phone:469-441-1565
Practice Address - Fax:972-219-1750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009789251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX67-9605Medicare ID - Type UnspecifiedHOME HEALTH CARE