Healthcare Provider Details

I. General information

NPI: 1821421694
Provider Name (Legal Business Name): HOUSE CALLS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2013
Last Update Date: 09/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18301 DARNELL DR
OLNEY MD
20832-1731
US

IV. Provider business mailing address

18301 DARNELL DR
OLNEY MD
20832-1731
US

V. Phone/Fax

Practice location:
  • Phone: 301-346-6732
  • Fax:
Mailing address:
  • Phone: 301-346-6732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateMD
# 5
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateMD

VIII. Authorized Official

Name: BETH SHARON ALBANEZE
Title or Position: OWNER AND OPERATOR/SOLE PROPRIETOR
Credential: CTRS CPRP
Phone: 301-346-6732