Healthcare Provider Details

I. General information

NPI: 1013252675
Provider Name (Legal Business Name): ONSITE NURSING CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2012
Last Update Date: 12/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18024 CALABAR DR
GAITHERSBURG MD
20877-1016
US

IV. Provider business mailing address

18024 CALABAR DR
GAITHERSBURG MD
20877-1016
US

V. Phone/Fax

Practice location:
  • Phone: 240-686-8342
  • Fax: 240-306-1000
Mailing address:
  • Phone: 240-686-8342
  • Fax: 240-306-1000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberSA-04439
License Number StateMD

VIII. Authorized Official

Name: RAMSEY KOOJO
Title or Position: VICE PRESIDENT
Credential:
Phone: 240-686-8342