Provider Demographics
NPI:1659606085
Name:HOUSE CALL CONNECTIONS, LLC
Entity Type:Organization
Organization Name:HOUSE CALL CONNECTIONS, LLC
Other - Org Name:FIRST CALL MOBILE CARE, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:K
Authorized Official - Last Name:VERMILYEN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:303-422-3909
Mailing Address - Street 1:15400 W 64TH AVE
Mailing Address - Street 2:9E, SUITE 14
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80007-6852
Mailing Address - Country:US
Mailing Address - Phone:303-422-3909
Mailing Address - Fax:303-422-2192
Practice Address - Street 1:15400 W 64TH AVE
Practice Address - Street 2:9E, SUITE 14
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80007-6852
Practice Address - Country:US
Practice Address - Phone:303-422-3909
Practice Address - Fax:303-422-2192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-02
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO97862363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COP64466Medicare UPIN