Provider Demographics
NPI:1255331500
Name:ON Q NURSING SERVICES L.L.C.
Entity Type:Organization
Organization Name:ON Q NURSING SERVICES L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/COO
Authorized Official - Prefix:MISS
Authorized Official - First Name:QUERIDA
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-879-0005
Mailing Address - Street 1:139 N MAIN ST
Mailing Address - Street 2:SUITE 308
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-8843
Mailing Address - Country:US
Mailing Address - Phone:410-879-0005
Mailing Address - Fax:410-420-2266
Practice Address - Street 1:139 N MAIN ST
Practice Address - Street 2:SUITE 308
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-8843
Practice Address - Country:US
Practice Address - Phone:410-879-0005
Practice Address - Fax:410-420-2266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2085251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDV512(P)P-762OtherDEPT. OF VETERANS AFFAIRS
MD000583OtherHARFORD CTY OFF ON AGING