Organization Active NPI

Home Call Medical LLC

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1477096964
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HOME CALL MEDICAL LLC
Practice address
1624 S 21St St Ste B
Colorado Springs, CO 80904-4296
Phone
(719) 955-3621
NPI assigned
Dec 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Authorized official

Name
Predrag Pavlovic
Title
Owner
Phone
(817) 403-3657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1624 S 21St St Ste B
Colorado Springs, CO 80904-4296

Mailing address

1624 S 21St St Ste B
Colorado Springs, CO 80904-4296
Phone (719) 955-3621

National Provider Directory

National Provider Directory

Locations

1624 S 21st St
Ste B
Colorado Springs, CO 80904
Phone (719) 955-3621

1624 S 21st St
Colorado Springs, CO 80904

NPI Registry JSON

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1477096964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 S 21ST ST STE B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809044296",
            "telephone_number": "719-955-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 S 21ST ST STE B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809044296",
            "telephone_number": "719-955-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CALL MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-01",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "PAVLOVIC",
        "authorized_official_first_name": "PREDRAG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-403-3657"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.