Active NPI
House Call, LLC
Doing business as House Call
- Family Medicine Physician
- Mobile, AL
National Provider Identifier
1750727582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD29760
- 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, 2022
- Organization subpart
- Yes
- Parent organization
- HOUSE CALL, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149591 | Medicaid | AL |
Other names 1
- House Call
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
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.
-
- Family Medicine Physician
- Mobile, AL
- NPI 1437317385
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.