Provider Demographics
NPI:1386183945
Name:HOUSECALL HEALTHCARE LLC
Entity Type:Organization
Organization Name:HOUSECALL HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCQUARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-526-8143
Mailing Address - Street 1:342 N WATER ST
Mailing Address - Street 2:SUITE 600
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53202-5514
Mailing Address - Country:US
Mailing Address - Phone:262-558-4338
Mailing Address - Fax:
Practice Address - Street 1:342 N WATER ST
Practice Address - Street 2:SUITE 600
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202-5514
Practice Address - Country:US
Practice Address - Phone:262-558-4338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-15
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty