Provider Demographics
NPI:1407046899
Name:ONSITE NURSE CONCIERGE, LLC
Entity Type:Organization
Organization Name:ONSITE NURSE CONCIERGE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER / PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:LASSITER
Authorized Official - Suffix:
Authorized Official - Credentials:BS RN
Authorized Official - Phone:877-659-7851
Mailing Address - Street 1:17 ELKADER
Mailing Address - Street 2:
Mailing Address - City:DOVE CANYON
Mailing Address - State:CA
Mailing Address - Zip Code:92679-4208
Mailing Address - Country:US
Mailing Address - Phone:877-659-7851
Mailing Address - Fax:877-471-1327
Practice Address - Street 1:17 ELKADER
Practice Address - Street 2:
Practice Address - City:DOVE CANYON
Practice Address - State:CA
Practice Address - Zip Code:92679-4208
Practice Address - Country:US
Practice Address - Phone:877-659-7851
Practice Address - Fax:877-471-1327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-31
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA432649251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health