=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023805348
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOUSE CALLS OF THE DISTRICT OF COLUMBIA INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/21/2025
-----------------------------------------------------
Last Update Date | 04/21/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4560 CRAIN HWY STE 10
-----------------------------------------------------
City | WHITE PLAINS
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20695-3084
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 202-683-4340
-----------------------------------------------------
Fax | 202-588-5971
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4560 CRAIN HWY STE 10
-----------------------------------------------------
City | WHITE PLAINS
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20695-3084
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 202-683-4340
-----------------------------------------------------
Fax | 202-588-5971
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO / OWNER
-----------------------------------------------------
Name | TIMOTHY MCNEILL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 202-683-4340
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 133N00000X
-----------------------------------------------------
Taxonomy Name | Nutritionist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207RE0101X
-----------------------------------------------------
Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 133V00000X
-----------------------------------------------------
Taxonomy Name | Registered Dietitian
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------