Provider Demographics
NPI:1992078299
Name:HOUSE CALLS CONSULTANTS PA
Entity type:Organization
Organization Name:HOUSE CALLS CONSULTANTS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:RUDASHEVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:952-225-5400
Mailing Address - Street 1:6550 YORK AVE S STE 303
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-2334
Mailing Address - Country:US
Mailing Address - Phone:952-225-5400
Mailing Address - Fax:952-225-5405
Practice Address - Street 1:6550 YORK AVE S STE 211
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2333
Practice Address - Country:US
Practice Address - Phone:952-225-5400
Practice Address - Fax:952-225-5405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-16
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNA0407181363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty