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Contact Information

PHYSICIAN HOUSE CALL SERVICES LLC
402 SANDHURST DR
HIGHLAND HEIGHTS, OH44143-3604
 Phone: 216-201-0339
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for PHYSICIAN HOUSE CALL SERVICES LLC

NPI Number 1134362775
LBN Legal business name PHYSICIAN HOUSE CALL SERVICES LLC
Authorized official VYACHESLAV ISAKOV - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/13/2009
Last updated 08/01/2011 - About 15 years ago
Identifiers
OH License # 1845089
OH Medicaid 2939495
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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