Provider Demographics
NPI:1285676510
Name:HOMECALL, INC
Entity type:Organization
Organization Name:HOMECALL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTIE
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:ESWORTHY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:800-444-0097
Mailing Address - Street 1:1080 W PATRICK ST
Mailing Address - Street 2:SUITE 1043
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-3972
Mailing Address - Country:US
Mailing Address - Phone:800-444-0097
Mailing Address - Fax:301-644-2990
Practice Address - Street 1:722 E MARKET ST
Practice Address - Street 2:SUITE 105
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-4475
Practice Address - Country:US
Practice Address - Phone:800-949-7062
Practice Address - Fax:703-779-0152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA497250251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4972503Medicaid
VA4972503Medicaid