Healthcare Provider Details

I. General information

NPI: 1770362030
Provider Name (Legal Business Name): ONKARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2023
Last Update Date: 09/26/2023
Certification Date: 09/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7081 LEESTONE ST
SPRINGFIELD VA
22151-3520
US

IV. Provider business mailing address

7081 LEESTONE ST
SPRINGFIELD VA
22151-3520
US

V. Phone/Fax

Practice location:
  • Phone: 571-296-0903
  • Fax:
Mailing address:
  • Phone: 571-296-0903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: EUN JUNG SUH
Title or Position: ADMINISTRATOR
Credential:
Phone: 703-975-7756