Provider Demographics
NPI:1588264675
Name:HOUSE CALLS FOR KIDS, LLC
Entity type:Organization
Organization Name:HOUSE CALLS FOR KIDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THRESA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GROTHAUS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, CPNP-PC
Authorized Official - Phone:567-825-0011
Mailing Address - Street 1:308 TAFT ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS GROVE
Mailing Address - State:OH
Mailing Address - Zip Code:45830-1122
Mailing Address - Country:US
Mailing Address - Phone:567-825-0011
Mailing Address - Fax:
Practice Address - Street 1:308 TAFT ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS GROVE
Practice Address - State:OH
Practice Address - Zip Code:45830-1122
Practice Address - Country:US
Practice Address - Phone:657-825-0011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Single Specialty