Provider Demographics
NPI:1407072283
Name:HOUSE CALLS PLUS INC
Entity Type:Organization
Organization Name:HOUSE CALLS PLUS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:EXHEM-WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:804-919-4411
Mailing Address - Street 1:116 CARRIAGE COURT LN
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:VA
Mailing Address - Zip Code:24538-3145
Mailing Address - Country:US
Mailing Address - Phone:804-919-4411
Mailing Address - Fax:804-309-4114
Practice Address - Street 1:116 CARRIAGE COURT LN
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:VA
Practice Address - Zip Code:24538-3145
Practice Address - Country:US
Practice Address - Phone:804-919-4411
Practice Address - Fax:804-309-4114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104545666208D00000X
VA0101225609208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1336365121Medicaid
VA1336365121Medicaid
VA001167H28Medicare ID - Type UnspecifiedEXHEMWILLIAMS, PA-C