Healthcare Provider Details

I. General information

NPI: 1023805348
Provider Name (Legal Business Name): HOUSE CALLS OF THE DISTRICT OF COLUMBIA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2025
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4560 CRAIN HWY STE 10
WHITE PLAINS MD
20695-3084
US

IV. Provider business mailing address

4560 CRAIN HWY STE 10
WHITE PLAINS MD
20695-3084
US

V. Phone/Fax

Practice location:
  • Phone: 202-683-4340
  • Fax: 202-588-5971
Mailing address:
  • Phone: 202-683-4340
  • Fax: 202-588-5971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY MCNEILL
Title or Position: CEO / OWNER
Credential:
Phone: 202-683-4340