Provider Demographics
NPI:1649431651
Name:HOUSE CALLS 4 KIDS LLC
Entity type:Organization
Organization Name:HOUSE CALLS 4 KIDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SOLE PROPRIETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KAHLER
Authorized Official - Suffix:
Authorized Official - Credentials:CPNP
Authorized Official - Phone:907-230-8390
Mailing Address - Street 1:PO BOX 210586
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99521-0586
Mailing Address - Country:US
Mailing Address - Phone:907-230-8390
Mailing Address - Fax:907-929-3345
Practice Address - Street 1:4200 YUKLA CIR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-4739
Practice Address - Country:US
Practice Address - Phone:907-230-8390
Practice Address - Fax:907-929-3345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK904512261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKNP04822Medicaid