Provider Demographics
NPI:1548047871
Name:TOTS N TEENS PEDIATRIC HOUSECALLS, LLC
Entity type:Organization
Organization Name:TOTS N TEENS PEDIATRIC HOUSECALLS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCHENCK
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, ARNP, CPNP-PC
Authorized Official - Phone:563-265-2322
Mailing Address - Street 1:4439 DEVLIS GLENN RD
Mailing Address - Street 2:#615
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722
Mailing Address - Country:US
Mailing Address - Phone:563-265-2322
Mailing Address - Fax:
Practice Address - Street 1:3508 GREENBRIER DR
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-2528
Practice Address - Country:US
Practice Address - Phone:563-265-2322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care