Provider Demographics
NPI:1124695143
Name:ONSITE MEDICAL PALLIATIVE CARE LLC
Entity type:Organization
Organization Name:ONSITE MEDICAL PALLIATIVE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BACHMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-694-5555
Mailing Address - Street 1:760 CHESSIE CROSSING WAY
Mailing Address - Street 2:
Mailing Address - City:WOODBINE
Mailing Address - State:MD
Mailing Address - Zip Code:21797-8768
Mailing Address - Country:US
Mailing Address - Phone:410-255-0102
Mailing Address - Fax:
Practice Address - Street 1:760 CHESSIE CROSSING WAY
Practice Address - Street 2:
Practice Address - City:WOODBINE
Practice Address - State:MD
Practice Address - Zip Code:21797-8768
Practice Address - Country:US
Practice Address - Phone:410-255-0102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ONSITE MEDICAL HOUSE CALLS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-08
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty