Provider Demographics
NPI:1821327867
Name:HOUSECALLS UNLIMITED
Entity Type:Organization
Organization Name:HOUSECALLS UNLIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EBERE
Authorized Official - Middle Name:HENRIETTA
Authorized Official - Last Name:ANAKWENZ
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:310-383-9874
Mailing Address - Street 1:555 W COMPTON BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90220-3037
Mailing Address - Country:US
Mailing Address - Phone:310-383-9874
Mailing Address - Fax:
Practice Address - Street 1:555 W COMPTON BLVD STE 205
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90220-3037
Practice Address - Country:US
Practice Address - Phone:310-383-9874
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-22
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG50607261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA3224912OtherDRIVERS LICENCE