Provider Demographics
NPI:1538585096
Name:ACCESS HOUSECALL LLC
Entity type:Organization
Organization Name:ACCESS HOUSECALL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:CATALDO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:269-217-1920
Mailing Address - Street 1:3408 MILLER RD STE 369
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49001-4111
Mailing Address - Country:US
Mailing Address - Phone:269-217-1920
Mailing Address - Fax:
Practice Address - Street 1:3408 MILLER RD STE 369
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49001-4111
Practice Address - Country:US
Practice Address - Phone:269-217-1920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-08
Last Update Date:2014-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty