Provider Demographics
NPI:1366015620
Name:OHIO HOUSE CALLS LLC
Entity Type:Organization
Organization Name:OHIO HOUSE CALLS LLC
Other - Org Name:HOPE HOUSE CALLS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HOPE
Authorized Official - Middle Name:
Authorized Official - Last Name:MULLIKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-938-6692
Mailing Address - Street 1:3615 NEWMARK DR
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-5430
Mailing Address - Country:US
Mailing Address - Phone:937-938-6692
Mailing Address - Fax:937-938-7140
Practice Address - Street 1:3615 NEWMARK DR
Practice Address - Street 2:
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342-5430
Practice Address - Country:US
Practice Address - Phone:937-938-6692
Practice Address - Fax:937-938-7140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-22
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH927000OtherMEDICARE PTAN
OH0477129Medicaid