Provider Demographics
NPI:1841768454
Name:CALLEWART CHRONIC CARE MANAGEMENT, LLC
Entity Type:Organization
Organization Name:CALLEWART CHRONIC CARE MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OSENBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-389-9696
Mailing Address - Street 1:5646 MILTON ST STE 920
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-3937
Mailing Address - Country:US
Mailing Address - Phone:214-389-9696
Mailing Address - Fax:
Practice Address - Street 1:9101 N CENTRAL EXPY STE 360
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-5949
Practice Address - Country:US
Practice Address - Phone:214-271-4585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-13
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health