MEDICARE: PRIMARY HOUSECALL SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1386741411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIMARY HOUSECALL SERVICES, LLC

Provider Business Mailing Address
First Line	:	2511 PALISADE DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46806-5316
Country	:	US
Telephone Number	:	260-447-4144
Fax Number	:	260-447-7860

Provider Business Practice Location Address
First Line	:	2511 PALISADE DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46806-5316
Country	:	US
Telephone Number	:	260-447-4144
Fax Number	:	260-447-7860

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MRS. VONDA M LOVE
Credential	:	FNP-C
Telephone Number	:	260-447-4144

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1841020930 — TAYLOR RENEE RUBY
Practice Location Address:

3501 WARSAW ST
FORT WAYNE, IN
46806-4175

Practice Phone: 260-458-2570
Practice Fax:

1124979018 — SHONTE PATRICE MCBRIDE
Practice Location Address:

201 E RUDISILL BLVD STE 100B
FORT WAYNE, IN
46806-1756

Practice Phone: 260-255-3665
Practice Fax:

1356292148 — JADA AYANNA RIDLEY
Practice Location Address:

201 E RUDISILL BLVD # B100
FORT WAYNE, IN
46806-1738

Practice Phone: 260-255-3665
Practice Fax:

1679568406 — DEAN DONALD DAUSCHER MD
Practice Location Address:

5717 S ANTHONY BLVD , SUITE 100
FORT WAYNE, IN
46806-3386

Practice Phone: 260-441-3326
Practice Fax: 260-441-3214

1902894173 — DR. DALE HILMER AESCHLIMAN M.D.
Practice Location Address:

5717 S ANTHONY BLVD , SUITE 600
FORT WAYNE, IN
46806-3386

Practice Phone: 260-441-3253
Practice Fax: 260-441-3214

1952385866 — HECTOR FRANCISCO PEREZ MD
Practice Location Address:

256 E PETTIT AVE
FORT WAYNE, IN
46806-3005

Practice Phone: 260-234-5400
Practice Fax: 260-234-5781

Directions to “PRIMARY HOUSECALL SERVICES, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.