Provider Demographics
NPI:1114595022
Name:247 ON SITE, LLC
Entity Type:Organization
Organization Name:247 ON SITE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:HEUEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-510-6568
Mailing Address - Street 1:226 S ENTERPRIZE PKWY STE 114
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78405-4120
Mailing Address - Country:US
Mailing Address - Phone:361-353-4643
Mailing Address - Fax:361-353-4647
Practice Address - Street 1:226 S ENTERPRIZE PKWY STE 114
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78405-4120
Practice Address - Country:US
Practice Address - Phone:361-353-4643
Practice Address - Fax:361-353-4647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-16
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty