NPI Code Detail JSON Logo

1801257720 NPI number — IMMEDIATE HOUSECALLS, LLC

NPI Number: 1801257720
Health Care Provider/Practitioner: IMMEDIATE HOUSECALLS, LLC

Information about “1801257720” NPI (IMMEDIATE HOUSECALLS, LLC) exists in 1801257720 in HTML format HTML  |  1801257720 in plain Text format TXT  |  1801257720 in PDF (Portable Document Format) PDF  |  1801257720 in an XML format XML  formats.

NPI Number : 1801257720 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801257720",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "IMMEDIATE HOUSECALLS, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4216 EVERGREEN LN STE 121",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ANNANDALE",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22003-3256",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "301-893-4124",
    "MailingAddressFaxNumber": "703-662-6165",
    "FirstLinePracticeLocationAddress": "3459 SAINT JOHNS LN",
    "SecondLinePracticeLocationAddress": "STE 9",
    "PracticeLocationAddressCityName": "ELLICOTT CITY",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21042",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "301-893-4124",
    "PracticeLocationAddressFaxNumber": "703-662-6165",
    "EnumerationDate": "03/20/2016",
    "LastUpdateDate": "10/10/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CHOI",
    "AuthorizedOfficialFirstName": "JIHO",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER/STAFF PHYSICIAN",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "910-920-0048",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225700000X",
          "TaxonomyName": "Massage Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207QG0300X",
          "TaxonomyName": "Geriatric Medicine (Family Medicine) Physician",
          "LicenseNumber": "D0081318",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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