Provider Demographics
NPI:1386016558
Name:HOUSECALL NURSING SERVICES LLC
Entity Type:Organization
Organization Name:HOUSECALL NURSING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MOSES
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMAU
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:253-202-5941
Mailing Address - Street 1:171 EAST ST
Mailing Address - Street 2:241D
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-5406
Mailing Address - Country:US
Mailing Address - Phone:253-202-5941
Mailing Address - Fax:
Practice Address - Street 1:171 EAST ST
Practice Address - Street 2:241D
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-5406
Practice Address - Country:US
Practice Address - Phone:253-202-5941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-27
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care