Provider Demographics
NPI:1205406402
Name:HOUSE CALLS HOME CARE LLC
Entity Type:Organization
Organization Name:HOUSE CALLS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAKHRUL
Authorized Official - Middle Name:
Authorized Official - Last Name:ISLAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-436-3430
Mailing Address - Street 1:1346 OLD BRIDGE RD STE 201-5
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-2743
Mailing Address - Country:US
Mailing Address - Phone:571-666-8500
Mailing Address - Fax:
Practice Address - Street 1:1346 OLD BRIDGE RD STE 201-5
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-2743
Practice Address - Country:US
Practice Address - Phone:571-666-8500
Practice Address - Fax:571-554-8930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-29
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care