Community House Call Services LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

209.008515 Issued in IL

Legal business name

COMMUNITY HOUSE CALL SERVICES LLC

Practice address

905 Joliet St
Dyer, IN 46311-1922

Phone

(844) 546-8732

Fax

(708) 529-2592

NPI assigned

Nov 13, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Reenu Varghese, N.P.

Title

Owner

Phone

(844) 546-8732

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1144693177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 JOLIET ST",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111922",
            "telephone_number": "844-546-8732",
            "fax_number": "708-529-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 JOLIET ST",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111922",
            "telephone_number": "844-546-8732",
            "fax_number": "708-529-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOUSE CALL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "VARGHESE",
        "authorized_official_first_name": "REENU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-546-8732",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "209.008515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Dyer, IN
• Providers in Dyer, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.