Onic Medical Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

R2691 Issued in MD

Legal business name

ONIC MEDICAL SERVICES, LLC

Practice address

9811 Mallard Drive, Suite 117
Laurel, MD 20708

Phone

(240) 391-6509

Fax

(240) 391-6515

NPI assigned

Apr 30, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Henry C. Ejemole

Title

Administrator

Phone

(240) 391-6509

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1992949143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 MALLARD DRIVE, SUITE 117",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20708",
            "telephone_number": "240-391-6509",
            "fax_number": "240-391-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 MALLARD DRIVE, SUITE 117",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20708",
            "telephone_number": "240-391-6509",
            "fax_number": "240-391-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONIC MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "EJEMOLE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "240-391-6509",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R2691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Iria A Ondo Bengone, DDS
• Desiree S Ong, M.D.
• Funmilayo Oni, CRNP
• Onic Medical Supply, LLC
• Sussan Ononaku, FNP
• Goldmay Ogbenyalu Onuma, PMHNP
• Philomena Onwuegbule, CRNP FAMILY
• Chinyelu Onwumbiko, PHARMD

• Home Health Agency in Laurel, MD
• Providers in Laurel, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.