Organization Active NPI

House Call, LLC

Doing business as House Call

  • Family Medicine Physician
  • Mobile, AL
National Provider Identifier
1750727582
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD29760 Issued in AL
Legal business name
HOUSE CALL, LLC
Doing business as
House Call
Practice address
950 Dauphin St Ste B
Mobile, AL 36604-2532
Phone
(251) 589-7111
Fax
(251) 382-1936
NPI assigned
May 20, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
HOUSE CALL, LLCAs reported in NPPES

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
Mrs. Trina Laray Nicholson
Title
Office Manager
Phone
(251) 589-7111

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Migrant Health Clinic/Center 261QM1000X MD29760 AL
Gerontology Nurse Practitioner 363LG0600X
Adult Companion 372600000X AL
Family Medicine Physician 207Q00000X MD29760 AL Primary
Adult Medicine Physician 207QA0505X MD29760
Public Health & General Preventive Medicine Physician 2083P0901X
In Home Supportive Care Agency 253Z00000X MD29760 AL
Case Manager/Care Coordinator 171M00000X AL

Addresses

Primary practice location

950 Dauphin St Ste B
Mobile, AL 36604-2532

Mailing address

950 Dauphin St Ste B
Mobile, AL 36604-2532
Phone (251) 589-7111

Other identifiers 1

IdentifierTypeStateIssuer
149591MedicaidAL

Other names 1

  • House Call Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131022000544 AL Part B Supplier - Clinic/Group Practice 4789819061 Receives reassigned benefits from 1 practitioner
Practice locations: Camden, AL; Mobile, AL

National Provider Directory

National Provider Directory
Part of
House Call LLC

Locations

4430 Government Blvd
Mobile, AL 36693
Phone (251) 589-7111

750 Downtowner Loop W
Ste H133
Mobile, AL 36609
Phone (251) 589-7111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1750727582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 DAUPHIN ST STE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366042532",
            "telephone_number": "251-589-7111",
            "fax_number": "251-382-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 DAUPHIN ST STE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366042532",
            "telephone_number": "251-589-7111",
            "fax_number": "251-382-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE CALL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOUSE CALL, LLC",
        "enumeration_date": "2013-05-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "TRINA",
        "authorized_official_middle_name": "LARAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "251-589-7111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Migrant Health",
            "state": "AL",
            "license": "MD29760",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD29760",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": "MD29760",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AL",
            "license": "MD29760",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149591",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "House Call",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.