Provider Demographics
NPI:1902554702
Name:CALENDAR HEALTHCARE LLC
Entity Type:Organization
Organization Name:CALENDAR HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JIMEZ
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:619-559-3414
Mailing Address - Street 1:1419 HYDE PARK BLVD APT 16
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-2537
Mailing Address - Country:US
Mailing Address - Phone:619-559-3414
Mailing Address - Fax:
Practice Address - Street 1:1419 HYDE PARK BLVD APT 16
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-2537
Practice Address - Country:US
Practice Address - Phone:619-559-3414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-11
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health