Provider Demographics
NPI:1255444956
Name:HOUSE CALLS OF AMERICA, LLC
Entity type:Organization
Organization Name:HOUSE CALLS OF AMERICA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:N
Authorized Official - Last Name:MOTT
Authorized Official - Suffix:III
Authorized Official - Credentials:RPA-C
Authorized Official - Phone:845-534-0066
Mailing Address - Street 1:367 WINDSOR HWY
Mailing Address - Street 2:SUITE 435
Mailing Address - City:NEW WINDSOR
Mailing Address - State:NY
Mailing Address - Zip Code:12553-7900
Mailing Address - Country:US
Mailing Address - Phone:845-534-0066
Mailing Address - Fax:
Practice Address - Street 1:367 WINDSOR HWY
Practice Address - Street 2:SUITE 435
Practice Address - City:NEW WINDSOR
Practice Address - State:NY
Practice Address - Zip Code:12553-7900
Practice Address - Country:US
Practice Address - Phone:845-534-0066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Not Answered363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1346214814OtherNPI
P37200Medicare UPIN