Organization Active NPI

House Calls Medical Services LLC

  • Medical Physician Assistant
  • Winter Haven, FL
National Provider Identifier
1437677978
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
HOUSE CALLS MEDICAL SERVICES LLC
Practice address
1130 6TH St NW
Winter Haven, FL 33881-4021
Phone
(813) 410-4873
NPI assigned
Sep 5, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Eniola Ayoola, PA, PHD
Title
Owner
Phone
(813) 410-4873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU Primary

Addresses

Primary practice location

1130 6TH St NW
Winter Haven, FL 33881-4021

Mailing address

1130 6TH St NW
Winter Haven, FL 33881-4021
Phone (813) 410-4873

National Provider Directory

National Provider Directory

Locations

1130 6th St NW
Winter Haven, FL 33881
Phone (813) 410-4873

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437677978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 6TH ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814021",
            "telephone_number": "813-410-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 6TH ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814021",
            "telephone_number": "813-410-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE CALLS MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AYOOLA",
        "authorized_official_first_name": "ENIOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-410-4873",
        "authorized_official_credential": "PA, PHD"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.